Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.49 / $356.49 / $556.12	Facility		$356.49	$356.49	$556.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.72 / $356.49 / $356.49	Professional		$322.72	$356.49	$356.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $405.87 / $565.95 / $994.00	Facility		$405.87	$565.95	$994.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.49 / $375.25 / $401.52	Professional		$356.49	$375.25	$401.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.94 / $171.71 / $522.04	Professional		$42.94	$171.71	$522.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $356.49 / $356.49 / $655.04	Facility		$356.49	$356.49	$655.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $356.49 / $475.00 / $510.34	Professional		$356.49	$475.00	$510.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $310.70 / $341.78 / $419.45	Professional		$310.70	$341.78	$419.45
United Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $70.13 / $225.15	Professional		$39.15	$70.13	$225.15