Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.63 / $229.63 / $229.63	Facility		$229.63	$229.63	$229.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.63 / $229.63 / $497.70	Professional		$229.63	$229.63	$497.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $329.74 / $638.78 / $1,234.17	Facility		$329.74	$638.78	$1,234.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.86 / $223.10 / $265.60	Professional		$201.86	$223.10	$265.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.00 / $660.00 / $660.00	Professional		$660.00	$660.00	$660.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $229.63 / $394.10 / $394.10	Facility		$229.63	$394.10	$394.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $229.63 / $394.10 / $497.70	Professional		$229.63	$394.10	$497.70
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 $711.04 / $711.04 / $711.04	Professional		$711.04	$711.04	$711.04