Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.95 / $258.61 / $258.61	Facility		$219.95	$258.61	$258.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.44 / $258.61 / $408.11	Professional		$202.44	$258.61	$408.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $327.71 / $453.81 / $806.99	Facility		$327.71	$453.81	$806.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.42 / $299.08 / $355.78	Professional		$45.42	$299.08	$355.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.80 / $337.04 / $545.57	Professional		$212.80	$337.04	$545.57
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $199.01 / $199.01 / $258.61	Facility		$199.01	$199.01	$258.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $199.01 / $238.60 / $377.79	Professional		$199.01	$238.60	$377.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $202.65 / $266.48	Professional		$34.19	$202.65	$266.48
United Facility/Professional Facility Modifier Low / Median / High Price $377.12 / $377.12 / $377.12	Facility		$377.12	$377.12	$377.12
United Facility/Professional Professional Modifier Low / Median / High Price $213.66 / $247.57 / $330.75	Professional		$213.66	$247.57	$330.75