Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.77 / $368.46 / $368.46	Facility		$294.77	$368.46	$368.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.46 / $368.46 / $379.59	Professional		$368.46	$368.46	$379.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,268.28 / $11,387.23 / $20,249.49	Facility		$8,268.28	$11,387.23	$20,249.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,790.22 / $7,147.60 / $9,649.26	Professional		$6,790.22	$7,147.60	$9,649.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.40 / $167.07 / $190.00	Professional		$102.40	$167.07	$190.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $294.77 / $693.75 / $693.75	Facility		$294.77	$693.75	$693.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $368.46 / $693.75 / $777.00	Professional		$368.46	$693.75	$777.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,572.48 / $12,773.83 / $21,518.33	Facility		$5,572.48	$12,773.83	$21,518.33