Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.35 / $184.35 / $854.97	Facility		$184.35	$184.35	$854.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.25 / $163.93 / $184.35	Professional		$92.25	$163.93	$184.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.08 / $871.02 / $1,710.33	Facility		$411.08	$871.02	$1,710.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.60 / $305.72 / $363.95	Professional		$276.60	$305.72	$363.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.22 / $249.35 / $593.66	Professional		$142.22	$249.35	$593.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $72.00 / $184.35	Facility		$72.00	$72.00	$184.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $103.65 / $184.35	Professional		$72.00	$103.65	$184.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.51 / $67.66 / $100.00	Professional		$61.51	$67.66	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.53 / $118.66 / $274.51	Professional		$93.53	$118.66	$274.51