Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.44 / $188.44 / $471.10	Facility		$188.44	$188.44	$471.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.66 / $188.44 / $188.44	Professional		$159.66	$188.44	$188.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.78 / $835.67 / $1,486.03	Facility		$606.78	$835.67	$1,486.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $532.95 / $561.00 / $673.20	Professional		$532.95	$561.00	$673.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $306.00 / $306.00	Professional		$306.00	$306.00	$306.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $188.44 / $348.61 / $471.10	Facility		$188.44	$348.61	$471.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $188.44 / $510.51	Professional		$4.63	$188.44	$510.51
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 $300.00 / $300.00 / $327.90	Professional		$300.00	$300.00	$327.90