Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.21 / $575.32 / $1,795.00	Facility		$575.21	$575.32	$1,795.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $575.21 / $675.86	Professional		$558.46	$575.21	$675.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $648.76 / $1,218.04 / $2,320.91	Facility		$648.76	$1,218.04	$2,320.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.54 / $568.99 / $568.99	Professional		$540.54	$568.99	$568.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $563.40	Professional		$558.46	$558.46	$563.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $558.46 / $690.38 / $1,600.83	Facility		$558.46	$690.38	$1,600.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $575.21 / $670.15	Professional		$558.46	$575.21	$670.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $623.95 / $642.22 / $642.34	Professional		$623.95	$642.22	$642.34
United Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $592.53	Professional		$558.46	$558.46	$592.53