Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.55 / $73.52 / $167.08	Facility		$56.55	$73.52	$167.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.47 / $98.32 / $167.08	Professional		$45.47	$98.32	$167.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.19 / $438.87 / $830.21	Facility		$235.19	$438.87	$830.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.44 / $69.02 / $88.74	Professional		$62.44	$69.02	$88.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.33 / $120.95 / $308.81	Professional		$45.33	$120.95	$308.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $58.72 / $117.18 / $167.08	Facility		$58.72	$117.18	$167.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $117.54 / $174.08	Professional		$47.53	$117.54	$174.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.43 / $134.77 / $196.03	Professional		$106.43	$134.77	$196.03
United Facility/Professional Facility Modifier Low / Median / High Price $271.72 / $366.23 / $593.05	Facility		$271.72	$366.23	$593.05
United Facility/Professional Professional Modifier Low / Median / High Price $113.92 / $137.69 / $187.03	Professional		$113.92	$137.69	$187.03