Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.49 / $257.49 / $257.49	Facility		$257.49	$257.49	$257.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.53 / $251.43 / $363.08	Professional		$195.53	$251.43	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.17 / $284.42 / $647.66	Facility		$207.17	$284.42	$647.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.29 / $340.78 / $409.59	Professional		$311.29	$340.78	$409.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.65 / $221.82 / $914.76	Professional		$154.65	$221.82	$914.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $180.76 / $180.76 / $257.49	Facility		$180.76	$180.76	$257.49
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $180.76 / $212.31 / $288.95	Professional		$180.76	$212.31	$288.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.59 / $201.74 / $284.17	Professional		$162.59	$201.74	$284.17
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,209.00 / $2,029.00	Facility		$464.00	$1,209.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.42 / $217.62 / $289.44	Professional		$184.42	$217.62	$289.44