Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.58 / $179.58 / $246.20	Facility		$179.58	$179.58	$246.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.94 / $179.58 / $190.06	Professional		$118.94	$179.58	$190.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.77 / $248.32 / $431.59	Facility		$173.77	$248.32	$431.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.14 / $232.76 / $294.01	Professional		$89.14	$232.76	$294.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.01 / $183.01 / $183.01	Facility		$183.01	$183.01	$183.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.38 / $258.05 / $544.92	Professional		$130.38	$258.05	$544.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $109.42 / $145.04 / $246.20	Facility		$109.42	$145.04	$246.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $145.04 / $179.14 / $269.37	Professional		$145.04	$179.14	$269.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $116.15 / $192.46	Professional		$35.58	$116.15	$192.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,861.66 / $2,861.66 / $2,861.66	Facility		$2,861.66	$2,861.66	$2,861.66
United Facility/Professional Professional Modifier Low / Median / High Price $161.77 / $209.91 / $472.56	Professional		$161.77	$209.91	$472.56