Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.98 / $495.98 / $1,239.95	Facility		$495.98	$495.98	$1,239.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.98 / $495.98 / $526.98	Professional		$495.98	$495.98	$526.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $290.32 / $399.84 / $711.02	Facility		$290.32	$399.84	$711.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $268.42 / $322.10	Professional		$255.00	$268.42	$322.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.51 / $526.98 / $526.98	Professional		$408.51	$526.98	$526.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $495.98 / $557.98 / $917.56	Facility		$495.98	$557.98	$917.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $495.98 / $547.65 / $657.18	Professional		$495.98	$547.65	$657.18
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 $516.65 / $516.65 / $564.70	Professional		$516.65	$516.65	$564.70