Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.05 / $474.05 / $739.52	Facility		$474.05	$474.05	$739.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.14 / $474.05 / $532.30	Professional		$429.14	$474.05	$532.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $404.79 / $564.44 / $991.35	Facility		$404.79	$564.44	$991.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.54 / $374.25 / $400.45	Professional		$355.54	$374.25	$400.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.60 / $252.89 / $1,722.93	Professional		$199.60	$252.89	$1,722.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $469.46 / $474.05 / $871.07	Facility		$469.46	$474.05	$871.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $469.46 / $474.05 / $1,147.70	Professional		$469.46	$474.05	$1,147.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $413.17 / $454.48 / $557.77	Professional		$413.17	$454.48	$557.77
United Facility/Professional Facility Modifier Low / Median / High Price $499.00 / $499.00 / $598.79	Facility		$499.00	$499.00	$598.79
United Facility/Professional Professional Modifier Low / Median / High Price $209.58 / $299.39 / $499.00	Professional		$209.58	$299.39	$499.00