Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $868.30 / $868.30 / $1,354.55	Facility		$868.30	$868.30	$1,354.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $749.48 / $868.30 / $868.30	Professional		$749.48	$868.30	$868.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $843.84 / $843.84 / $888.25	Facility		$843.84	$843.84	$888.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $843.84 / $888.25 / $1,199.14	Professional		$843.84	$888.25	$1,199.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.69 / $1,113.85 / $2,056.50	Professional		$534.69	$1,113.85	$2,056.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $868.30 / $868.30 / $1,595.50	Facility		$868.30	$868.30	$1,595.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $868.30 / $877.44 / $1,096.80	Professional		$868.30	$877.44	$1,096.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $914.00 / $914.00 / $1,096.80	Facility		$914.00	$914.00	$1,096.80
United Facility/Professional Professional Modifier Low / Median / High Price $383.88 / $548.40 / $914.00	Professional		$383.88	$548.40	$914.00