Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $614.99 / $655.78 / $1,023.02	Facility		$614.99	$655.78	$1,023.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $586.75 / $655.78 / $1,147.60	Professional		$586.75	$655.78	$1,147.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $459.87 / $459.87 / $484.07	Facility		$459.87	$459.87	$484.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.87 / $484.07 / $538.42	Professional		$459.87	$484.07	$538.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $841.28 / $1,051.59 / $1,697.63	Professional		$841.28	$1,051.59	$1,697.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $655.78 / $655.78 / $1,205.00	Facility		$655.78	$655.78	$1,205.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $662.68 / $662.68 / $828.35	Professional		$662.68	$662.68	$828.35
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 $289.92 / $414.17 / $690.29	Professional		$289.92	$414.17	$690.29