Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.72 / $228.44 / $228.44	Facility		$197.72	$228.44	$228.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.43 / $228.44 / $357.56	Professional		$179.43	$228.44	$357.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.38 / $433.97 / $771.70	Facility		$313.38	$433.97	$771.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $312.23 / $367.73	Professional		$37.85	$312.23	$367.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.43 / $300.52 / $505.16	Professional		$192.43	$300.52	$505.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $183.81 / $183.81 / $228.44	Facility		$183.81	$183.81	$228.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $183.81 / $211.38 / $310.38	Professional		$183.81	$211.38	$310.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $182.32 / $265.20	Professional		$34.19	$182.32	$265.20
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 $162.97 / $224.12 / $299.14	Professional		$162.97	$224.12	$299.14