Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.86 / $369.97 / $1,153.96	Facility		$369.86	$369.97	$1,153.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.18 / $369.97 / $434.50	Professional		$359.18	$369.97	$434.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $417.27 / $783.41 / $1,492.75	Facility		$417.27	$783.41	$1,492.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.19 / $359.19 / $359.19	Professional		$359.19	$359.19	$359.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $359.19 / $443.83 / $1,029.14	Facility		$359.19	$443.83	$1,029.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $359.19 / $369.86 / $431.02	Professional		$359.19	$369.86	$431.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $405.44 / $412.95 / $413.06	Professional		$405.44	$412.95	$413.06
United Facility/Professional Facility Modifier Low / Median / High Price $358.96 / $358.96 / $358.96	Facility		$358.96	$358.96	$358.96
United Facility/Professional Professional Modifier Low / Median / High Price $359.19 / $359.19 / $381.10	Professional		$359.19	$359.19	$381.10