Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $494.00 / $770.64	Facility		$494.00	$494.00	$770.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.20 / $494.00 / $494.00	Professional		$447.20	$494.00	$494.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.42 / $346.42 / $364.65	Facility		$346.42	$346.42	$364.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.42 / $364.65 / $405.60	Professional		$346.42	$364.65	$405.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.92 / $633.96 / $1,170.00	Professional		$237.92	$633.96	$1,170.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $489.22 / $494.00 / $907.73	Facility		$489.22	$494.00	$907.73
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $489.22 / $494.00 / $624.00	Professional		$489.22	$494.00	$624.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.40 / $312.00 / $520.00	Professional		$218.40	$312.00	$520.00