Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.59 / $392.80 / $1,221.76	Facility		$391.59	$392.80	$1,221.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $392.80 / $460.02	Professional		$381.36	$392.80	$460.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $443.02 / $831.77 / $1,584.90	Facility		$443.02	$831.77	$1,584.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.12 / $388.55 / $388.55	Professional		$369.12	$388.55	$388.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.56 / $381.36 / $434.23	Professional		$358.56	$381.36	$434.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $381.36 / $469.91 / $1,089.59	Facility		$381.36	$469.91	$1,089.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $391.59 / $457.63	Professional		$381.36	$391.59	$457.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $430.51 / $437.20 / $438.56	Professional		$430.51	$437.20	$438.56
United Facility/Professional Facility Modifier Low / Median / High Price $374.36 / $374.36 / $396.82	Facility		$374.36	$374.36	$396.82
United Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $457.63	Professional		$381.36	$381.36	$457.63