Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.00 / $304.00 / $474.24	Facility		$304.00	$304.00	$474.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.20 / $304.00 / $304.00	Professional		$275.20	$304.00	$304.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,027.52 / $1,432.79 / $2,516.46	Facility		$1,027.52	$1,432.79	$2,516.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $902.50 / $950.00 / $1,016.50	Professional		$902.50	$950.00	$1,016.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.44 / $320.00 / $720.00	Professional		$146.44	$320.00	$720.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $301.06 / $304.00 / $558.60	Facility		$301.06	$304.00	$558.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $301.06 / $304.00 / $432.00	Professional		$301.06	$304.00	$432.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $264.95 / $291.45 / $476.92	Professional		$264.95	$291.45	$476.92
United Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $192.00 / $320.00	Professional		$134.40	$192.00	$320.00