Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.00 / $722.00 / $1,126.32	Facility		$722.00	$722.00	$1,126.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.60 / $722.00 / $722.00	Professional		$653.60	$722.00	$722.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.51 / $859.67 / $1,509.87	Facility		$616.51	$859.67	$1,509.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $541.50 / $570.00 / $609.90	Professional		$541.50	$570.00	$609.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.11 / $385.14 / $1,157.95	Professional		$277.11	$385.14	$1,157.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $566.46 / $722.00 / $1,326.67	Facility		$566.46	$722.00	$1,326.67
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $566.46 / $611.77 / $912.00	Professional		$566.46	$611.77	$912.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $629.28 / $692.20 / $1,132.70	Professional		$629.28	$692.20	$1,132.70
United Facility/Professional Professional Modifier Low / Median / High Price $252.88 / $361.26 / $602.10	Professional		$252.88	$361.26	$602.10