Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $400.00 / $1,000.00	Facility		$400.00	$400.00	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $425.00	Professional		$400.00	$400.00	$425.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $540.79 / $744.80 / $1,324.45	Facility		$540.79	$744.80	$1,324.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $500.00 / $600.00	Professional		$475.00	$500.00	$600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $432.81 / $432.81	Professional		$425.00	$432.81	$432.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $490.20 / $1,000.00	Facility		$400.00	$490.20	$1,000.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $490.20 / $588.24	Professional		$400.00	$490.20	$588.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $530.50	Professional		$500.00	$500.00	$530.50