Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.18 / $630.61 / $630.61	Facility		$275.18	$630.61	$630.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.87 / $630.61 / $630.61	Professional		$404.87	$630.61	$630.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $445.61 / $612.14 / $1,084.91	Facility		$445.61	$612.14	$1,084.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.95 / $507.37 / $897.84	Professional		$382.95	$507.37	$897.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.78 / $692.88 / $1,217.58	Professional		$490.78	$692.88	$1,217.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $275.18 / $388.62 / $630.61	Facility		$275.18	$388.62	$630.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $388.62 / $511.08 / $789.49	Professional		$388.62	$511.08	$789.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $236.25 / $317.56 / $611.50	Professional		$236.25	$317.56	$611.50
United Facility/Professional Professional Modifier Low / Median / High Price $441.55 / $594.69 / $827.90	Professional		$441.55	$594.69	$827.90