Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.02 / $555.02 / $865.83	Facility		$555.02	$555.02	$865.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.44 / $555.02 / $555.02	Professional		$502.44	$555.02	$555.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $473.92 / $660.85 / $1,160.67	Facility		$473.92	$660.85	$1,160.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.26 / $438.17 / $468.84	Professional		$416.26	$438.17	$468.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.31 / $348.99 / $890.01	Professional		$267.31	$348.99	$890.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $555.02 / $555.02 / $1,019.85	Facility		$555.02	$555.02	$1,019.85
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $555.02 / $560.86 / $701.08	Professional		$555.02	$560.86	$701.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $483.75 / $532.12 / $870.75	Professional		$483.75	$532.12	$870.75
United Facility/Professional Professional Modifier Low / Median / High Price $245.38 / $350.54 / $584.23	Professional		$245.38	$350.54	$584.23