Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.79 / $356.79 / $356.79	Facility		$356.79	$356.79	$356.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $296.66 / $356.79	Professional		$112.50	$296.66	$356.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $700.45 / $1,484.14 / $2,881.64	Facility		$700.45	$1,484.14	$2,881.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.77 / $105.61 / $133.25	Professional		$93.77	$105.61	$133.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.18 / $406.01 / $671.57	Professional		$271.18	$406.01	$671.57
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $241.00 / $241.00 / $356.79	Facility		$241.00	$241.00	$356.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $212.39 / $273.64 / $356.79	Professional		$212.39	$273.64	$356.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $227.70 / $396.82	Professional		$36.85	$227.70	$396.82
United Facility/Professional Professional Modifier Low / Median / High Price $260.17 / $335.34 / $496.70	Professional		$260.17	$335.34	$496.70