Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $315.00 / $415.32	Facility		$300.00	$315.00	$415.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $52.00 / $372.00	Professional		$30.00	$52.00	$372.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $311.38 / $653.53 / $1,276.98	Facility		$311.38	$653.53	$1,276.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.81 / $232.50 / $290.63	Professional		$191.81	$232.50	$290.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $325.00 / $601.80	Professional		$200.00	$325.00	$601.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $312.00 / $415.32	Facility		$312.00	$312.00	$415.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $312.00 / $432.00	Professional		$52.00	$312.00	$432.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.00 / $204.00 / $204.00	Professional		$204.00	$204.00	$204.00