Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.45 / $217.69 / $949.07	Facility		$167.45	$217.69	$949.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.75 / $565.69 / $949.07	Professional		$131.75	$565.69	$949.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,300.77 / $2,361.06 / $4,653.45	Facility		$1,300.77	$2,361.06	$4,653.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.68 / $302.52 / $408.40	Professional		$201.68	$302.52	$408.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $418.34 / $1,848.64	Professional		$134.13	$418.34	$1,848.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $173.89 / $809.28 / $949.07	Facility		$173.89	$809.28	$949.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $167.45 / $809.28 / $1,111.98	Professional		$167.45	$809.28	$1,111.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $554.92 / $704.31 / $1,026.42	Professional		$554.92	$704.31	$1,026.42
United Facility/Professional Professional Modifier Low / Median / High Price $434.94 / $865.08 / $1,154.09	Professional		$434.94	$865.08	$1,154.09