Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.85 / $745.85 / $1,864.63	Facility		$745.85	$745.85	$1,864.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.00 / $745.85 / $745.85	Professional		$628.00	$745.85	$745.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,297.92 / $1,787.52 / $3,178.68	Facility		$1,297.92	$1,787.52	$3,178.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,140.00 / $1,200.00 / $1,440.00	Professional		$1,140.00	$1,200.00	$1,440.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $753.92 / $876.07 / $876.07	Professional		$753.92	$876.07	$876.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $745.85 / $886.96 / $1,379.82	Facility		$745.85	$886.96	$1,379.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $745.85 / $886.96 / $1,064.34	Professional		$745.85	$886.96	$1,064.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $886.96 / $886.96 / $941.06	Professional		$886.96	$886.96	$941.06