Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,008.55 / $1,008.55 / $1,008.55	Facility		$1,008.55	$1,008.55	$1,008.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.80 / $1,003.56 / $1,095.17	Professional		$823.80	$1,003.56	$1,095.17
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 $710.95 / $1,602.49 / $4,323.60	Professional		$710.95	$1,602.49	$4,323.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $998.40 / $998.40 / $1,008.55	Facility		$998.40	$998.40	$1,008.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $817.90 / $998.40 / $1,148.16	Professional		$817.90	$998.40	$1,148.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $471.79 / $518.96 / $707.68	Professional		$471.79	$518.96	$707.68
United Facility/Professional Professional Modifier Low / Median / High Price $952.96 / $1,087.13 / $1,537.57	Professional		$952.96	$1,087.13	$1,537.57