Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.00 / $722.00 / $1,126.32	Facility		$722.00	$722.00	$1,126.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.79 / $722.00 / $722.00	Professional		$649.79	$722.00	$722.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $688.67 / $940.64 / $1,428.14	Facility		$688.67	$940.64	$1,428.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $541.50 / $570.00 / $609.90	Professional		$541.50	$570.00	$609.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.60 / $926.36 / $1,710.00	Professional		$444.60	$926.36	$1,710.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $715.01 / $722.00 / $1,326.67	Facility		$715.01	$722.00	$1,326.67
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $715.01 / $722.00 / $912.00	Professional		$715.01	$722.00	$912.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $456.00 / $760.00	Professional		$319.20	$456.00	$760.00