Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.72 / $308.72 / $308.72	Facility		$308.72	$308.72	$308.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.72 / $308.72 / $569.27	Professional		$308.72	$308.72	$569.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $576.24 / $1,116.29 / $2,156.77	Facility		$576.24	$1,116.29	$2,156.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.75 / $389.89 / $464.15	Professional		$352.75	$389.89	$464.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $39.60 / $39.60	Professional		$39.60	$39.60	$39.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $308.72 / $419.55 / $419.55	Facility		$308.72	$419.55	$419.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $308.72 / $419.55 / $545.41	Professional		$308.72	$419.55	$545.41
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 $636.29 / $636.29 / $636.29	Professional		$636.29	$636.29	$636.29