Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.00 / $718.00 / $718.00	Facility		$718.00	$718.00	$718.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.00 / $718.00 / $762.88	Professional		$718.00	$718.00	$762.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.28 / $677.48 / $1,356.32	Facility		$440.28	$677.48	$1,356.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.10 / $148.91 / $227.90	Professional		$43.10	$148.91	$227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.88 / $762.88 / $1,021.64	Professional		$762.88	$762.88	$1,021.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $718.00 / $897.50 / $1,100.00	Facility		$718.00	$897.50	$1,100.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $718.00 / $897.50 / $1,077.00	Professional		$718.00	$897.50	$1,077.00
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 $1,997.50 / $1,997.50 / $2,152.91	Professional		$1,997.50	$1,997.50	$2,152.91