Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.46 / $1,476.15 / $12,047.55	Facility		$590.46	$1,476.15	$12,047.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $590.46 / $612.60 / $673.86	Professional		$590.46	$612.60	$673.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $332.44 / $488.25 / $856.30	Facility		$332.44	$488.25	$856.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.82 / $345.74 / $448.79	Professional		$315.82	$345.74	$448.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.36 / $627.36 / $797.39	Professional		$627.36	$627.36	$797.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $590.46 / $664.26 / $11,973.87	Facility		$590.46	$664.26	$11,973.87
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $590.46 / $651.96 / $782.35	Professional		$590.46	$651.96	$782.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $100.00	Professional		$30.00	$55.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $615.05 / $615.05 / $652.58	Professional		$615.05	$615.05	$652.58