Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.36 / $750.00 / $2,407.86	Facility		$128.36	$750.00	$2,407.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.99 / $442.77 / $568.83	Professional		$353.99	$442.77	$568.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $550.37 / $762.14 / $1,324.64	Facility		$550.37	$762.14	$1,324.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.27 / $532.11 / $665.44	Professional		$100.27	$532.11	$665.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.27 / $402.27 / $402.27	Facility		$402.27	$402.27	$402.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.99 / $560.59 / $1,036.14	Professional		$373.99	$560.59	$1,036.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $128.80 / $832.14 / $2,407.86	Facility		$128.80	$832.14	$2,407.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $378.30 / $442.77 / $674.08	Professional		$378.30	$442.77	$674.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $100.00	Professional		$30.00	$75.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $376.14 / $456.32 / $690.00	Professional		$376.14	$456.32	$690.00