Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.49 / $287.49 / $448.48	Facility		$287.49	$287.49	$448.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.25 / $287.49 / $287.49	Professional		$260.25	$287.49	$287.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.22 / $212.22 / $212.22	Facility		$212.22	$212.22	$212.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.61 / $212.22 / $236.05	Professional		$201.61	$212.22	$236.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $56.63 / $680.90	Professional		$26.54	$56.63	$680.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $55.58 / $287.49 / $528.26	Facility		$55.58	$287.49	$528.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $55.58 / $76.33 / $363.14	Professional		$55.58	$76.33	$363.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $250.57 / $275.62 / $338.26	Professional		$250.57	$275.62	$338.26
United Facility/Professional Facility Modifier Low / Median / High Price $302.62 / $302.62 / $302.62	Facility		$302.62	$302.62	$302.62
United Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $37.72 / $181.57	Professional		$25.60	$37.72	$181.57