Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.85 / $4,499.47 / $10,371.21	Facility		$279.85	$4,499.47	$10,371.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.44 / $279.85 / $322.39	Professional		$266.44	$279.85	$322.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $406.72 / $732.69 / $1,386.03	Facility		$406.72	$732.69	$1,386.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.45 / $318.45 / $335.22	Professional		$318.45	$318.45	$335.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.24 / $375.45 / $375.45	Professional		$291.24	$375.45	$375.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $279.85 / $2,815.52 / $9,354.94	Facility		$279.85	$2,815.52	$9,354.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $266.44 / $279.85 / $335.82	Professional		$266.44	$279.85	$335.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $306.40 / $321.82 / $333.39	Professional		$306.40	$321.82	$333.39
United Facility/Professional Professional Modifier Low / Median / High Price $279.85 / $335.82 / $816.60	Professional		$279.85	$335.82	$816.60