Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.66 / $555.66 / $866.83	Facility		$555.66	$555.66	$866.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.49 / $503.01 / $555.66	Professional		$368.49	$503.01	$555.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.28 / $655.65 / $1,162.02	Facility		$457.28	$655.65	$1,162.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.75 / $438.68 / $469.39	Professional		$416.75	$438.68	$469.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.37 / $649.89 / $839.94	Professional		$296.37	$649.89	$839.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $555.66 / $555.66 / $1,021.03	Facility		$555.66	$555.66	$1,021.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $555.66 / $754.83 / $802.33	Professional		$555.66	$754.83	$802.33
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 Facility Modifier Low / Median / High Price $245.66 / $526.41 / $701.88	Facility		$245.66	$526.41	$701.88
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $481.40 / $646.30	Professional		$245.66	$481.40	$646.30