Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.98 / $427.64 / $427.64	Facility		$424.98	$427.64	$427.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.88 / $427.64 / $427.64	Professional		$323.88	$427.64	$427.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $437.19 / $600.58 / $1,064.41	Facility		$437.19	$600.58	$1,064.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.53 / $30.27	Professional		$19.05	$23.53	$30.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.74 / $134.31 / $278.54	Professional		$53.74	$134.31	$278.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $60.46 / $60.46 / $427.64	Facility		$60.46	$60.46	$427.64
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $60.46 / $77.70 / $427.64	Professional		$60.46	$77.70	$427.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $137.30 / $225.81	Professional		$9.59	$137.30	$225.81
United Facility/Professional Professional Modifier Low / Median / High Price $96.21 / $347.45 / $500.12	Professional		$96.21	$347.45	$500.12