Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.81 / $435.58 / $1,316.05	Facility		$421.81	$435.58	$1,316.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.81 / $422.89 / $465.18	Professional		$421.81	$422.89	$465.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $491.28 / $922.36 / $1,757.52	Facility		$491.28	$922.36	$1,757.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.33 / $448.10 / $581.66	Professional		$409.33	$448.10	$581.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $498.69	Professional		$422.89	$422.89	$498.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $421.81 / $822.53 / $1,173.69	Facility		$421.81	$822.53	$1,173.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $421.81 / $422.89 / $507.46	Professional		$421.81	$422.89	$507.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $409.01 / $449.91 / $613.51	Professional		$409.01	$449.91	$613.51
United Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $470.77 / $541.39	Professional		$422.89	$470.77	$541.39