Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.82 / $282.82 / $750.00	Facility		$282.82	$282.82	$750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.74 / $282.82 / $1,217.90	Professional		$218.74	$282.82	$1,217.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.19 / $933.16 / $1,199.77	Professional		$733.19	$933.16	$1,199.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.42 / $334.42 / $334.42	Facility		$334.42	$334.42	$334.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,013.41 / $1,013.41 / $1,013.41	Professional		$1,013.41	$1,013.41	$1,013.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $42.91 / $282.82 / $865.99	Facility		$42.91	$282.82	$865.99
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $42.91 / $50.20 / $1,101.34	Professional		$42.91	$50.20	$1,101.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $100.00	Professional		$30.00	$50.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $801.69 / $952.60 / $1,425.83	Professional		$801.69	$952.60	$1,425.83