Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.08 / $506.66 / $1,580.78	Facility		$489.08	$506.66	$1,580.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.83 / $489.08 / $595.20	Professional		$474.83	$489.08	$595.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $586.98 / $1,057.42 / $2,000.33	Facility		$586.98	$1,057.42	$2,000.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.60 / $483.79 / $483.79	Professional		$459.60	$483.79	$483.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.38 / $474.84 / $474.84	Professional		$218.38	$474.84	$474.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $474.84 / $886.66 / $1,409.78	Facility		$474.84	$886.66	$1,409.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $489.08 / $569.79	Professional		$474.84	$489.08	$569.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $542.37 / $546.06 / $565.68	Professional		$542.37	$546.06	$565.68
United Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $528.60 / $607.89	Professional		$474.84	$528.60	$607.89