Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $708.27 / $755.25 / $1,178.19	Facility		$708.27	$755.25	$1,178.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.90 / $755.25 / $825.00	Professional		$651.90	$755.25	$825.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $621.53 / $891.16 / $1,579.41	Facility		$621.53	$891.16	$1,579.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $566.44 / $596.25 / $637.99	Professional		$566.44	$596.25	$637.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.05 / $795.00 / $1,650.00	Professional		$540.05	$795.00	$1,650.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $747.94 / $755.25 / $1,387.77	Facility		$747.94	$755.25	$1,387.77
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $747.94 / $755.25 / $980.77	Professional		$747.94	$755.25	$980.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $592.43 / $658.26 / $888.65	Professional		$592.43	$658.26	$888.65
United Facility/Professional Professional Modifier Low / Median / High Price $333.90 / $477.00 / $795.00	Professional		$333.90	$477.00	$795.00