Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.47 / $403.82 / $1,255.71	Facility		$402.47	$403.82	$1,255.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $403.82 / $472.80	Professional		$392.06	$403.82	$472.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $484.66 / $873.10 / $1,651.65	Facility		$484.66	$873.10	$1,651.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.49 / $399.46 / $399.46	Professional		$379.49	$399.46	$399.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.76 / $392.06 / $392.06	Professional		$120.76	$392.06	$392.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $392.06 / $503.09 / $1,255.71	Facility		$392.06	$503.09	$1,255.71
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $402.47 / $470.47	Professional		$392.06	$402.47	$470.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $440.32 / $449.35 / $450.86	Professional		$440.32	$449.35	$450.86
United Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $415.94	Professional		$392.06	$392.06	$415.94