Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.04 / $323.04 / $323.04	Facility		$323.04	$323.04	$323.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.59 / $323.04 / $420.06	Professional		$203.59	$323.04	$420.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,194.19 / $5,884.19 / $12,051.42	Facility		$2,194.19	$5,884.19	$12,051.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,084.48 / $2,303.91 / $2,742.75	Professional		$2,084.48	$2,303.91	$2,742.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.63 / $359.63 / $630.55	Professional		$359.63	$359.63	$630.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $323.04 / $428.12 / $465.69	Facility		$323.04	$428.12	$465.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $273.45 / $428.12 / $535.15	Professional		$273.45	$428.12	$535.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.16 / $271.62 / $488.93	Professional		$174.16	$271.62	$488.93