Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.68 / $118.68 / $118.68	Facility		$118.68	$118.68	$118.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $96.99 / $118.68	Professional		$47.72	$96.99	$118.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $395.91 / $838.88 / $1,628.78	Facility		$395.91	$838.88	$1,628.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.06 / $56.45 / $67.20	Professional		$51.06	$56.45	$67.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.31 / $165.07 / $435.94	Professional		$102.31	$165.07	$435.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $86.66 / $86.66 / $118.68	Facility		$86.66	$86.66	$118.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $86.66 / $99.22 / $186.59	Professional		$86.66	$99.22	$186.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $41.11 / $81.59	Professional		$22.53	$41.11	$81.59
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $101.92 / $155.18	Professional		$77.06	$101.92	$155.18