Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.63 / $97.63 / $97.63	Facility		$97.63	$97.63	$97.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.63 / $97.63 / $97.63	Professional		$97.63	$97.63	$97.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $625.66 / $861.69 / $1,532.31	Facility		$625.66	$861.69	$1,532.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $513.83 / $540.87 / $730.17	Professional		$513.83	$540.87	$730.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.32 / $185.59 / $512.23	Professional		$62.32	$185.59	$512.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $97.63 / $203.71 / $203.71	Facility		$97.63	$203.71	$203.71
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $203.71 / $224.08	Professional		$74.93	$203.71	$224.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.46 / $51.12 / $80.02	Professional		$44.46	$51.12	$80.02
United Facility/Professional Professional Modifier Low / Median / High Price $70.23 / $114.77 / $302.70	Professional		$70.23	$114.77	$302.70