Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.00 / $398.00 / $398.00	Professional		$398.00	$398.00	$398.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $879.21 / $879.21 / $888.72	Facility		$879.21	$879.21	$888.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $844.28 / $933.16 / $1,199.77	Professional		$844.28	$933.16	$1,199.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $772.33 / $772.33 / $772.33	Professional		$772.33	$772.33	$772.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $398.00 / $398.00 / $398.00	Professional		$398.00	$398.00	$398.00
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 Facility Modifier Low / Median / High Price $235.00 / $235.00 / $235.00	Facility		$235.00	$235.00	$235.00