Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.17 / $386.17 / $545.00	Facility		$386.17	$386.17	$545.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.76 / $386.17 / $386.17	Professional		$250.76	$386.17	$386.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $573.59 / $1,140.44 / $2,203.42	Facility		$573.59	$1,140.44	$2,203.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.43 / $405.72 / $405.72	Professional		$385.43	$405.72	$405.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.25 / $139.25 / $252.88	Professional		$139.25	$139.25	$252.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $315.85 / $315.85 / $386.17	Facility		$315.85	$315.85	$386.17
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $315.85 / $355.26 / $475.45	Professional		$315.85	$355.26	$475.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $160.13 / $160.13	Professional		$160.13	$160.13	$160.13
United Facility/Professional Professional Modifier Low / Median / High Price $202.41 / $311.89 / $503.07	Professional		$202.41	$311.89	$503.07