Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $894.35 / $941.42 / $1,400.00	Facility		$894.35	$941.42	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.64 / $941.42 / $1,068.05	Professional		$877.64	$941.42	$1,068.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.39 / $336.84 / $596.98	Facility		$225.39	$336.84	$596.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.10 / $225.37 / $304.25	Professional		$214.10	$225.37	$304.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.25 / $1,152.65 / $1,627.74	Professional		$526.25	$1,152.65	$1,627.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $894.35 / $941.42 / $1,729.86	Facility		$894.35	$941.42	$1,729.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $881.68 / $975.72 / $1,122.07	Professional		$881.68	$975.72	$1,122.07
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 $415.17 / $620.96 / $1,297.63	Professional		$415.17	$620.96	$1,297.63