Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.96 / $171.96 / $171.96	Facility		$171.96	$171.96	$171.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $171.96 / $171.96	Professional		$134.90	$171.96	$171.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $351.78 / $681.47 / $1,316.67	Facility		$351.78	$681.47	$1,316.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.35 / $238.01 / $283.35	Professional		$215.35	$238.01	$283.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $858.00 / $858.00 / $858.00	Professional		$858.00	$858.00	$858.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $171.96 / $244.18 / $244.18	Facility		$171.96	$244.18	$244.18
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $171.96 / $244.18 / $298.99	Professional		$171.96	$244.18	$298.99
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 $699.93 / $699.93 / $699.93	Professional		$699.93	$699.93	$699.93