Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,550.18 / $1,653.00 / $2,578.67	Facility		$1,550.18	$1,653.00	$2,578.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,392.00 / $1,479.00 / $2,578.67	Professional		$1,392.00	$1,479.00	$2,578.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,220.18 / $1,220.18 / $1,220.18	Facility		$1,220.18	$1,220.18	$1,220.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,159.17 / $1,220.18 / $1,357.20	Professional		$1,159.17	$1,220.18	$1,357.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,120.76 / $2,120.76 / $2,650.95	Professional		$2,120.76	$2,120.76	$2,650.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,653.00 / $1,653.00 / $3,037.39	Facility		$1,653.00	$1,653.00	$3,037.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,670.40 / $1,670.40 / $2,088.00	Professional		$1,670.40	$1,670.40	$2,088.00
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 $730.80 / $1,044.00 / $1,740.00	Professional		$730.80	$1,044.00	$1,740.00