Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $798.38 / $855.86 / $2,097.30	Facility		$798.38	$855.86	$2,097.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.32 / $798.38 / $798.38	Professional		$410.32	$798.38	$798.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $706.78 / $1,369.19 / $2,645.39	Facility		$706.78	$1,369.19	$2,645.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.67 / $478.21 / $569.29	Professional		$432.67	$478.21	$569.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.51 / $291.51 / $291.51	Professional		$291.51	$291.51	$291.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $497.76 / $855.86 / $2,097.30	Facility		$497.76	$855.86	$2,097.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $497.76 / $532.60 / $798.38	Professional		$497.76	$532.60	$798.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $636.29 / $636.29 / $636.29	Professional		$636.29	$636.29	$636.29