Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.26 / $562.67 / $1,701.21	Facility		$545.26	$562.67	$1,701.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $545.26 / $562.67 / $640.54	Professional		$545.26	$562.67	$640.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $675.32 / $1,216.56 / $2,301.37	Facility		$675.32	$1,216.56	$2,301.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $452.69 / $476.52 / $476.52	Professional		$452.69	$476.52	$476.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $939.14	Professional		$546.29	$546.29	$939.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $546.29 / $954.21 / $1,517.19	Facility		$546.29	$954.21	$1,517.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $545.26 / $546.29 / $655.54	Professional		$545.26	$546.29	$655.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $600.10 / $608.78 / $628.23	Professional		$600.10	$608.78	$628.23
United Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $579.55	Professional		$546.29	$546.29	$579.55