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 $506.30 / $506.30 / $532.95	Facility		$506.30	$506.30	$532.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $506.30 / $532.95 / $592.79	Professional		$506.30	$532.95	$592.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $841.13 / $1,051.41 / $1,710.00	Professional		$841.13	$1,051.41	$1,710.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $722.00 / $722.00 / $1,326.67	Facility		$722.00	$722.00	$1,326.67
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $722.00 / $729.60 / $912.00	Professional		$722.00	$729.60	$912.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $456.00 / $760.00	Professional		$319.20	$456.00	$760.00