Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.07 / $639.07 / $639.07	Facility		$639.07	$639.07	$639.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.71 / $551.60 / $658.86	Professional		$482.71	$551.60	$658.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.87 / $614.87 / $614.87	Facility		$614.87	$614.87	$614.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $584.13 / $657.61 / $768.59	Professional		$584.13	$657.61	$768.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.15 / $601.98 / $1,363.78	Professional		$448.15	$601.98	$1,363.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $473.37 / $473.37 / $639.07	Facility		$473.37	$473.37	$639.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $473.37 / $542.70 / $697.76	Professional		$473.37	$542.70	$697.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $306.70 / $460.05	Professional		$75.00	$306.70	$460.05
United Facility/Professional Professional Modifier Low / Median / High Price $373.01 / $462.32 / $662.52	Professional		$373.01	$462.32	$662.52