Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.50 / $752.56 / $1,025.70	Facility		$657.50	$752.56	$1,025.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.58 / $657.50 / $752.56	Professional		$649.58	$657.50	$752.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $555.51 / $555.51 / $555.51	Facility		$555.51	$555.51	$555.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.75 / $555.51 / $749.94	Professional		$377.75	$555.51	$749.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $792.13 / $910.25 / $1,137.82	Professional		$792.13	$910.25	$1,137.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $677.30 / $752.56 / $1,208.16	Facility		$677.30	$752.56	$1,208.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $705.75 / $760.48 / $950.60	Professional		$705.75	$760.48	$950.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $332.71 / $475.30 / $792.17	Professional		$332.71	$475.30	$792.17