Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $597.36 / $597.39 / $1,863.86	Facility		$597.36	$597.39	$1,863.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $597.36 / $701.79	Professional		$579.97	$597.36	$701.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $673.74 / $1,264.94 / $2,410.28	Facility		$673.74	$1,264.94	$2,410.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $561.35 / $590.90 / $590.90	Professional		$561.35	$590.90	$590.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.82 / $579.97 / $579.97	Professional		$340.82	$579.97	$579.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $579.97 / $746.74 / $1,662.24	Facility		$579.97	$746.74	$1,662.24
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $597.36 / $695.96	Professional		$579.97	$597.36	$695.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $649.33 / $666.96 / $666.98	Professional		$649.33	$666.96	$666.98
United Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $615.29	Professional		$579.97	$579.97	$615.29