Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.67 / $1,289.36 / $1,394.82	Professional		$762.67	$1,289.36	$1,394.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,974.21 / $2,301.01 / $3,117.51	Facility		$1,974.21	$2,301.01	$3,117.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $484.88 / $639.20	Professional		$97.70	$484.88	$639.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.48 / $776.48 / $776.48	Professional		$776.48	$776.48	$776.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $459.05 / $4,933.00 / $4,933.00	Facility		$459.05	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $448.98 / $459.05 / $601.95	Professional		$448.98	$459.05	$601.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $309.36 / $384.68 / $560.40	Professional		$309.36	$384.68	$560.40
United Facility/Professional Professional Modifier Low / Median / High Price $454.02 / $570.11 / $764.81	Professional		$454.02	$570.11	$764.81