Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.21 / $814.21 / $814.21	Facility		$814.21	$814.21	$814.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.40 / $800.98 / $876.03	Professional		$664.40	$800.98	$876.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $700.45 / $1,484.14 / $2,914.27	Facility		$700.45	$1,484.14	$2,914.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $471.30 / $520.91 / $620.14	Professional		$471.30	$520.91	$620.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $574.29 / $1,280.90 / $3,455.95	Professional		$574.29	$1,280.90	$3,455.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $499.20 / $499.20 / $814.21	Facility		$499.20	$499.20	$814.21
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $499.20 / $664.40 / $849.86	Professional		$499.20	$664.40	$849.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $377.10 / $414.81 / $565.65	Professional		$377.10	$414.81	$565.65
United Facility/Professional Facility Modifier Low / Median / High Price $635.49 / $635.49 / $879.02	Facility		$635.49	$635.49	$879.02
United Facility/Professional Professional Modifier Low / Median / High Price $759.88 / $846.98 / $1,229.85	Professional		$759.88	$846.98	$1,229.85