Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.49 / $404.41 / $1,249.53	Facility		$400.49	$404.41	$1,249.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $396.56 / $431.89	Professional		$392.63	$396.56	$431.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $456.11 / $856.34 / $1,631.72	Facility		$456.11	$856.34	$1,631.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.03 / $416.03 / $540.04	Professional		$380.03	$416.03	$540.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $448.70	Professional		$392.63	$392.63	$448.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $777.66 / $1,114.35	Facility		$392.63	$777.66	$1,114.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $396.56 / $490.78	Professional		$392.63	$396.56	$490.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $373.77 / $411.14 / $560.65	Professional		$373.77	$411.14	$560.65
United Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $392.63 / $392.63	Facility		$392.63	$392.63	$392.63
United Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $437.08 / $486.91	Professional		$392.63	$437.08	$486.91