Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.76 / $164.76 / $164.76	Facility		$164.76	$164.76	$164.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.72 / $164.76 / $164.76	Professional		$155.72	$164.76	$164.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,053.04 / $1,053.04 / $1,053.04	Facility		$1,053.04	$1,053.04	$1,053.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,053.04 / $1,220.61 / $1,357.70	Professional		$1,053.04	$1,220.61	$1,357.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.06 / $152.06 / $152.06	Professional		$152.06	$152.06	$152.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $164.76 / $205.78 / $205.78	Facility		$164.76	$205.78	$205.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $164.76 / $205.78 / $237.78	Professional		$164.76	$205.78	$237.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.20 / $216.52 / $299.56	Professional		$182.20	$216.52	$299.56