Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.19 / $343.83 / $771.50	Facility		$315.19	$343.83	$771.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $50.69 / $64.14	Professional		$32.15	$50.69	$64.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.75 / $398.59 / $770.10	Facility		$205.75	$398.59	$770.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.95 / $139.21 / $165.73	Professional		$125.95	$139.21	$165.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $50.31 / $90.75	Professional		$50.31	$50.31	$90.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $130.46 / $307.08 / $771.50	Facility		$130.46	$307.08	$771.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $60.54 / $130.46 / $143.50	Professional		$60.54	$130.46	$143.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.94 / $72.16 / $103.87	Professional		$54.94	$72.16	$103.87