Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.24 / $558.24 / $558.24	Facility		$558.24	$558.24	$558.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.79 / $558.24 / $558.24	Professional		$299.79	$558.24	$558.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $574.29 / $816.75 / $1,452.39	Facility		$574.29	$816.75	$1,452.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $39.22 / $44.83	Professional		$35.47	$39.22	$44.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.37 / $77.37 / $77.37	Facility		$77.37	$77.37	$77.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.71 / $86.89 / $159.26	Professional		$53.71	$86.89	$159.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $59.66 / $59.66 / $558.24	Facility		$59.66	$59.66	$558.24
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $59.66 / $95.33 / $558.24	Professional		$59.66	$95.33	$558.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $35.83 / $49.60	Professional		$27.68	$35.83	$49.60
United Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $463.79 / $780.73	Professional		$74.36	$463.79	$780.73