Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.56 / $512.92 / $766.14	Facility		$394.56	$512.92	$766.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.06 / $394.56 / $434.47	Professional		$391.06	$394.56	$434.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $454.30 / $852.94 / $1,625.24	Facility		$454.30	$852.94	$1,625.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.52 / $414.38 / $537.89	Professional		$378.52	$414.38	$537.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $461.17	Professional		$391.07	$391.07	$461.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $391.07 / $690.48 / $1,097.85	Facility		$391.07	$690.48	$1,097.85
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $394.56 / $488.83	Professional		$391.07	$394.56	$488.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $363.83 / $400.21 / $547.49	Professional		$363.83	$400.21	$547.49
United Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $435.34 / $484.97	Professional		$391.07	$435.34	$484.97