Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.50 / $902.50 / $1,407.90	Facility		$902.50	$902.50	$1,407.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.00 / $902.50 / $902.50	Professional		$817.00	$902.50	$902.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.27 / $1,074.58 / $1,887.34	Facility		$746.27	$1,074.58	$1,887.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.88 / $712.50 / $762.38	Professional		$676.88	$712.50	$762.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.75 / $1,157.64 / $2,137.50	Professional		$555.75	$1,157.64	$2,137.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $893.76 / $902.50 / $1,658.34	Facility		$893.76	$902.50	$1,658.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $893.76 / $902.50 / $1,140.00	Professional		$893.76	$902.50	$1,140.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $570.00 / $950.00	Professional		$399.00	$570.00	$950.00