Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $706.48 / $918.42 / $1,371.82	Facility		$706.48	$918.42	$1,371.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $692.86 / $754.60	Professional		$686.00	$692.86	$754.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $796.93 / $1,496.22 / $2,850.98	Facility		$796.93	$1,496.22	$2,850.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $663.99 / $726.90 / $943.57	Professional		$663.99	$726.90	$943.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $686.00 / $830.48	Professional		$686.00	$686.00	$830.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $686.00 / $1,371.82 / $1,965.78	Facility		$686.00	$1,371.82	$1,965.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $692.86 / $831.32	Professional		$686.00	$692.86	$831.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $641.83 / $686.00 / $925.97	Professional		$641.83	$686.00	$925.97
United Facility/Professional Facility Modifier Low / Median / High Price $686.00 / $686.00 / $686.00	Facility		$686.00	$686.00	$686.00
United Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $763.66 / $830.06	Professional		$686.00	$763.66	$830.06