Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.22 / $1,354.60 / $1,437.92	Professional		$705.22	$1,354.60	$1,437.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,716.72 / $1,716.72 / $1,716.72	Facility		$1,716.72	$1,716.72	$1,716.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,630.88 / $1,802.56 / $2,317.57	Professional		$1,630.88	$1,802.56	$2,317.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.55 / $742.34 / $2,487.66	Professional		$496.55	$742.34	$2,487.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,035.20 / $1,340.68 / $1,522.36	Professional		$1,035.20	$1,340.68	$1,522.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,270.36 / $1,460.92 / $2,286.66	Professional		$1,270.36	$1,460.92	$2,286.66
United Facility/Professional Professional Modifier Low / Median / High Price $604.12 / $791.87 / $1,228.70	Professional		$604.12	$791.87	$1,228.70