Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $798.62 / $798.62 / $1,245.84	Facility		$798.62	$798.62	$1,245.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.33 / $798.62 / $798.62	Professional		$689.33	$798.62	$798.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $786.01 / $786.01 / $786.01	Facility		$786.01	$786.01	$786.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $746.71 / $786.01 / $874.28	Professional		$746.71	$786.01	$874.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.54 / $1,024.65 / $1,280.81	Professional		$384.54	$1,024.65	$1,280.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $555.65 / $798.62 / $1,467.46	Facility		$555.65	$798.62	$1,467.46
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $555.65 / $644.54 / $1,008.78	Professional		$555.65	$644.54	$1,008.78
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 Professional Modifier Low / Median / High Price $248.06 / $354.37 / $538.02	Professional		$248.06	$354.37	$538.02