Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $610.48 / $610.48 / $610.48	Facility		$610.48	$610.48	$610.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.70 / $511.95 / $651.01	Professional		$435.70	$511.95	$651.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $768.88 / $768.88 / $768.88	Facility		$768.88	$768.88	$768.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $718.84 / $822.33 / $961.10	Professional		$718.84	$822.33	$961.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.15 / $574.95 / $1,337.28	Professional		$454.15	$574.95	$1,337.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $458.34 / $458.34 / $610.48	Facility		$458.34	$458.34	$610.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $458.34 / $527.09 / $699.88	Professional		$458.34	$527.09	$699.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $431.52 / $527.24 / $720.38	Professional		$431.52	$527.24	$720.38
United Facility/Professional Professional Modifier Low / Median / High Price $439.14 / $536.72 / $778.24	Professional		$439.14	$536.72	$778.24