Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.44 / $283.44 / $283.44	Facility		$283.44	$283.44	$283.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.46 / $283.44 / $283.44	Professional		$174.46	$283.44	$283.44
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 / $1,647.84	Professional		$1,053.04	$1,220.61	$1,647.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.64 / $261.64 / $261.64	Professional		$261.64	$261.64	$261.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $230.23 / $230.23 / $283.44	Facility		$230.23	$230.23	$283.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $230.23 / $230.23 / $283.44	Professional		$230.23	$230.23	$283.44
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 Facility Modifier Low / Median / High Price $1,023.26 / $1,023.26 / $1,023.26	Facility		$1,023.26	$1,023.26	$1,023.26
United Facility/Professional Professional Modifier Low / Median / High Price $203.85 / $244.32 / $344.27	Professional		$203.85	$244.32	$344.27