Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $240.00 / $748.80	Facility		$240.00	$240.00	$748.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $255.00	Professional		$240.00	$240.00	$255.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.19 / $552.44 / $1,030.97	Facility		$288.19	$552.44	$1,030.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.11 / $252.75 / $341.21	Professional		$240.11	$252.75	$341.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Facility		$255.00	$255.00	$255.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $255.00 / $255.00	Professional		$223.50	$255.00	$255.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $300.00 / $667.80	Facility		$240.00	$300.00	$667.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $255.00 / $295.20	Professional		$240.00	$255.00	$295.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.49 / $217.30 / $1,500.00	Professional		$115.49	$217.30	$1,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $250.00 / $265.25	Professional		$100.00	$250.00	$265.25