Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.96 / $803.96 / $1,254.18	Facility		$803.96	$803.96	$1,254.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $677.02 / $803.96 / $803.96	Professional		$677.02	$803.96	$803.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $690.55 / $965.63 / $1,681.26	Facility		$690.55	$965.63	$1,681.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.29 / $458.95 / $1,177.28	Professional		$180.29	$458.95	$1,177.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $803.96 / $803.96 / $1,477.28	Facility		$803.96	$803.96	$1,477.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $803.96 / $812.42 / $1,015.52	Professional		$803.96	$812.42	$1,015.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $700.71 / $770.78 / $1,261.27	Professional		$700.71	$770.78	$1,261.27
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $507.76 / $846.27	Professional		$355.43	$507.76	$846.27