Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.68 / $915.68 / $915.68	Facility		$915.68	$915.68	$915.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $915.68 / $915.68	Professional		$872.08	$915.68	$915.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $129.49 / $207.18	Facility		$35.22	$129.49	$207.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $129.49 / $223.75	Professional		$35.22	$129.49	$223.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $1,033.13	Professional		$872.08	$872.08	$1,033.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $872.08 / $872.08 / $915.68	Facility		$872.08	$872.08	$915.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $1,046.49	Professional		$872.08	$872.08	$1,046.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $1,500.00	Professional		$75.00	$75.00	$1,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $939.93	Professional		$872.08	$872.08	$939.93