Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $418.00 / $652.08	Facility		$418.00	$418.00	$652.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.40 / $418.00 / $418.00	Professional		$378.40	$418.00	$418.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $475.90 / $663.61 / $1,165.52	Facility		$475.90	$663.61	$1,165.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $418.00 / $440.00 / $470.80	Professional		$418.00	$440.00	$470.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.42 / $223.02 / $670.09	Professional		$81.42	$223.02	$670.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $418.00 / $768.08	Facility		$418.00	$418.00	$768.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $418.00 / $575.00 / $598.40	Professional		$418.00	$575.00	$598.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $364.32 / $400.75 / $491.83	Professional		$364.32	$400.75	$491.83
United Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $114.31 / $264.00	Professional		$74.20	$114.31	$264.00