Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.00 / $441.26 / $441.26	Facility		$399.00	$441.26	$441.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.52 / $441.26 / $441.26	Professional		$286.52	$441.26	$441.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $655.41 / $1,303.13 / $2,517.77	Facility		$655.41	$1,303.13	$2,517.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.42 / $463.60 / $463.60	Professional		$440.42	$463.60	$463.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.25 / $139.25 / $288.64	Professional		$139.25	$139.25	$288.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $360.91 / $360.91 / $441.26	Facility		$360.91	$360.91	$441.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $360.91 / $404.21 / $543.27	Professional		$360.91	$404.21	$543.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $160.13 / $160.13	Professional		$160.13	$160.13	$160.13
United Facility/Professional Professional Modifier Low / Median / High Price $231.28 / $357.98 / $574.86	Professional		$231.28	$357.98	$574.86