Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $850.08 / $2,125.19 / $3,326.43	Facility		$850.08	$2,125.19	$3,326.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.08 / $850.08 / $903.21	Professional		$850.08	$850.08	$903.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $773.66 / $1,065.50 / $1,894.73	Facility		$773.66	$1,065.50	$1,894.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $679.53 / $715.29 / $858.35	Professional		$679.53	$715.29	$858.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.85 / $903.21 / $903.21	Professional		$223.85	$903.21	$903.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $850.67 / $1,040.36 / $3,225.14	Facility		$850.67	$1,040.36	$3,225.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $850.08 / $938.63 / $1,126.34	Professional		$850.08	$938.63	$1,126.34
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 $885.50 / $885.50 / $967.85	Professional		$885.50	$885.50	$967.85