Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,438.60	Facility		$575.44	$575.44	$1,438.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $611.41	Professional		$575.44	$575.44	$611.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.26 / $233.11 / $414.53	Facility		$169.26	$233.11	$414.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.66 / $156.49 / $187.79	Professional		$148.66	$156.49	$187.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.41 / $611.41 / $611.41	Professional		$611.41	$611.41	$611.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $647.37 / $1,064.56	Facility		$575.44	$647.37	$1,064.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $635.39 / $762.46	Professional		$575.44	$635.39	$762.46
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 $683.34 / $683.34 / $725.02	Professional		$683.34	$683.34	$725.02