Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.04 / $585.04 / $585.04	Facility		$585.04	$585.04	$585.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.04 / $585.04 / $603.50	Professional		$585.04	$585.04	$603.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $852.68 / $1,651.83 / $3,191.47	Facility		$852.68	$1,651.83	$3,191.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $521.98 / $576.91 / $686.81	Professional		$521.98	$576.91	$686.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $39.60 / $39.60	Professional		$39.60	$39.60	$39.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $569.52 / $569.52 / $585.04	Facility		$569.52	$569.52	$585.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $569.52 / $585.04 / $697.36	Professional		$569.52	$585.04	$697.36
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 $683.77 / $683.77 / $683.77	Professional		$683.77	$683.77	$683.77