Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.91 / $1,084.96 / $1,478.74	Facility		$947.91	$1,084.96	$1,478.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $947.91 / $1,084.96 / $1,084.96	Professional		$947.91	$1,084.96	$1,084.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.87 / $800.87 / $800.87	Facility		$800.87	$800.87	$800.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $760.83 / $800.87 / $890.81	Professional		$760.83	$800.87	$890.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,141.95 / $1,141.95 / $1,427.44	Professional		$1,141.95	$1,141.95	$1,427.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $976.46 / $1,084.96 / $1,741.78	Facility		$976.46	$1,084.96	$1,741.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,084.96 / $1,096.38 / $1,370.47	Professional		$1,084.96	$1,096.38	$1,370.47
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 $479.67 / $685.24 / $1,142.06	Professional		$479.67	$685.24	$1,142.06