Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.02 / $313.02 / $488.33	Facility		$313.02	$313.02	$488.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.38 / $313.02 / $313.02	Professional		$283.38	$313.02	$313.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.52 / $219.52 / $231.07	Facility		$219.52	$219.52	$231.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.52 / $231.07 / $257.02	Professional		$219.52	$231.07	$257.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.75 / $196.99 / $501.80	Professional		$150.75	$196.99	$501.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $310.00 / $313.02 / $575.19	Facility		$310.00	$313.02	$575.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $310.00 / $313.02 / $395.41	Professional		$310.00	$313.02	$395.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $197.71 / $329.51	Professional		$138.38	$197.71	$329.51