Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.26 / $435.84 / $1,248.00	Facility		$335.26	$435.84	$1,248.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.30 / $1,248.00 / $1,326.00	Professional		$341.30	$1,248.00	$1,326.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,463.87 / $2,748.38 / $5,236.91	Facility		$1,463.87	$2,748.38	$5,236.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $520.00 / $625.00	Professional		$475.00	$520.00	$625.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.81 / $1,326.00 / $1,326.00	Professional		$399.81	$1,326.00	$1,326.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $370.18 / $653.76 / $932.86	Facility		$370.18	$653.76	$932.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $335.26 / $370.18 / $1,248.00	Professional		$335.26	$370.18	$1,248.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $370.18 / $407.19 / $555.27	Professional		$370.18	$407.19	$555.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,447.17 / $1,565.26	Professional		$1,300.00	$1,447.17	$1,565.26