Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.48 / $501.48 / $782.31	Facility		$501.48	$501.48	$782.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.30 / $501.48 / $501.48	Professional		$422.30	$501.48	$501.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $428.21 / $597.10 / $1,048.70	Facility		$428.21	$597.10	$1,048.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.10 / $395.90 / $423.61	Professional		$376.10	$395.90	$423.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.15 / $267.49 / $1,187.71	Professional		$211.15	$267.49	$1,187.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $496.62 / $501.48 / $921.47	Facility		$496.62	$501.48	$921.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $384.02 / $496.62 / $633.44	Professional		$384.02	$496.62	$633.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Facility Modifier Low / Median / High Price $527.87 / $527.87 / $527.87	Facility		$527.87	$527.87	$527.87
United Facility/Professional Professional Modifier Low / Median / High Price $221.71 / $316.72 / $527.87	Professional		$221.71	$316.72	$527.87