Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.67 / $642.67 / $1,002.58	Facility		$642.67	$642.67	$1,002.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.20 / $642.67 / $642.67	Professional		$541.20	$642.67	$642.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.68 / $450.68 / $474.40	Facility		$450.68	$450.68	$474.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.68 / $474.40 / $527.67	Professional		$450.68	$474.40	$527.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.58 / $422.84 / $1,030.44	Professional		$309.58	$422.84	$1,030.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $642.67 / $642.67 / $1,180.92	Facility		$642.67	$642.67	$1,180.92
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $642.67 / $665.16 / $811.80	Professional		$642.67	$665.16	$811.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $560.14 / $616.15 / $1,008.25	Professional		$560.14	$616.15	$1,008.25
United Facility/Professional Professional Modifier Low / Median / High Price $284.13 / $424.21 / $707.02	Professional		$284.13	$424.21	$707.02