Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.77 / $388.85 / $1,209.83	Facility		$387.77	$388.85	$1,209.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.51 / $387.77 / $455.54	Professional		$377.51	$387.77	$455.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $466.68 / $840.71 / $1,590.37	Facility		$466.68	$840.71	$1,590.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.41 / $384.64 / $384.64	Professional		$365.41	$384.64	$384.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.37 / $377.52 / $377.52	Professional		$226.37	$377.52	$377.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $377.52 / $484.71 / $1,209.83	Facility		$377.52	$484.71	$1,209.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $381.30 / $453.02	Professional		$377.52	$381.30	$453.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $426.02 / $432.95 / $434.14	Professional		$426.02	$432.95	$434.14
United Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $420.26 / $496.67	Professional		$377.52	$420.26	$496.67