Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.48 / $247.48 / $386.07	Facility		$247.48	$247.48	$386.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.61 / $247.48 / $247.48	Professional		$213.61	$247.48	$247.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.66 / $292.01 / $517.54	Facility		$203.66	$292.01	$517.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.61 / $195.38 / $209.06	Professional		$185.61	$195.38	$209.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $317.60 / $397.00	Professional		$28.54	$317.60	$397.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $196.06 / $247.48 / $454.74	Facility		$196.06	$247.48	$454.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $196.06 / $232.09 / $312.60	Professional		$196.06	$232.09	$312.60
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 $260.50 / $260.50 / $312.60	Facility		$260.50	$260.50	$312.60
United Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $156.30 / $260.50	Professional		$109.41	$156.30	$260.50