Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.48 / $460.48 / $460.48	Facility		$460.48	$460.48	$460.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.48 / $460.48 / $489.26	Professional		$460.48	$460.48	$489.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $490.27 / $906.28 / $1,714.41	Facility		$490.27	$906.28	$1,714.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.80 / $711.80 / $711.80	Professional		$711.80	$711.80	$711.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.43 / $508.43 / $580.25	Professional		$508.43	$508.43	$580.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $460.48 / $575.60 / $575.60	Facility		$460.48	$575.60	$575.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $460.48 / $575.60 / $690.72	Professional		$460.48	$575.60	$690.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $508.43 / $762.64 / $762.64	Professional		$508.43	$762.64	$762.64
United Facility/Professional Professional Modifier Low / Median / High Price $575.60 / $640.76 / $713.81	Professional		$575.60	$640.76	$713.81