Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.69 / $608.69 / $949.56	Facility		$608.69	$608.69	$949.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.40 / $608.69 / $608.69	Professional		$525.40	$608.69	$608.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.84 / $426.84 / $449.31	Facility		$426.84	$426.84	$449.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.84 / $449.31 / $606.57	Professional		$426.84	$449.31	$606.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $600.62 / $780.98 / $976.23	Professional		$600.62	$780.98	$976.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $608.69 / $608.69 / $1,118.47	Facility		$608.69	$608.69	$1,118.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $608.69 / $615.10 / $768.87	Professional		$608.69	$615.10	$768.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $716.21 / $716.21 / $716.21	Professional		$716.21	$716.21	$716.21
United Facility/Professional Professional Modifier Low / Median / High Price $269.11 / $384.44 / $407.50	Professional		$269.11	$384.44	$407.50