Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,443.11 / $1,443.11 / $2,251.25	Facility		$1,443.11	$1,443.11	$2,251.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,215.25 / $1,443.11 / $1,443.11	Professional		$1,215.25	$1,443.11	$1,443.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $1,011.99 / $1,065.25	Facility		$40.00	$1,011.99	$1,065.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,011.99 / $1,065.25 / $1,184.86	Professional		$1,011.99	$1,065.25	$1,184.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,851.48 / $1,851.48 / $2,314.35	Professional		$1,851.48	$1,851.48	$2,314.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,443.11 / $1,443.11 / $2,651.71	Facility		$1,443.11	$1,443.11	$2,651.71
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,443.11 / $1,458.30 / $1,822.87	Professional		$1,443.11	$1,458.30	$1,822.87
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 $638.01 / $911.44 / $1,519.06	Professional		$638.01	$911.44	$1,519.06