Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $570.00 / $889.20	Facility		$570.00	$570.00	$889.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $570.00 / $570.00	Professional		$480.00	$570.00	$570.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $471.33 / $670.32 / $1,192.00	Facility		$471.33	$670.32	$1,192.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.50 / $450.00 / $481.50	Professional		$427.50	$450.00	$481.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.75 / $325.83 / $834.81	Professional		$261.75	$325.83	$834.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $564.48 / $570.00 / $1,047.38	Facility		$564.48	$570.00	$1,047.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $564.48 / $570.00 / $720.00	Professional		$564.48	$570.00	$720.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $496.80 / $546.48 / $894.24	Professional		$496.80	$546.48	$894.24
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $360.00 / $600.00	Professional		$252.00	$360.00	$600.00