Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.93 / $249.93 / $249.93	Facility		$249.93	$249.93	$249.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.77 / $219.73 / $289.08	Professional		$172.77	$219.73	$289.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.65 / $281.86 / $281.86	Facility		$207.65	$281.86	$281.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.27 / $281.86 / $352.33	Professional		$197.27	$281.86	$352.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.17 / $389.66 / $810.33	Professional		$207.17	$389.66	$810.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $231.22 / $231.22 / $249.93	Facility		$231.22	$231.22	$249.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $182.53 / $231.22 / $330.29	Professional		$182.53	$231.22	$330.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.45 / $135.23 / $232.60	Professional		$30.45	$135.23	$232.60
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,438.00 / $6,703.00	Facility		$464.00	$1,438.00	$6,703.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.02 / $318.82 / $440.60	Professional		$193.02	$318.82	$440.60