Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.96 / $540.96 / $540.96	Facility		$540.96	$540.96	$540.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.96 / $540.96 / $876.05	Professional		$540.96	$540.96	$876.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $704.27 / $1,364.33 / $2,636.00	Facility		$704.27	$1,364.33	$2,636.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $431.13 / $476.51 / $567.28	Professional		$431.13	$476.51	$567.28
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 $448.84 / $448.84 / $540.96	Facility		$448.84	$448.84	$540.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $448.84 / $493.72 / $595.40	Professional		$448.84	$493.72	$595.40
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 $747.40 / $747.40 / $747.40	Professional		$747.40	$747.40	$747.40