Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.80 / $1,102.00 / $2,109.44	Facility		$991.80	$1,102.00	$2,109.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.36 / $812.00 / $1,102.00	Professional		$318.36	$812.00	$1,102.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,254.66 / $1,749.51 / $3,072.72	Facility		$1,254.66	$1,749.51	$3,072.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,102.00 / $1,160.00 / $1,241.20	Professional		$1,102.00	$1,160.00	$1,241.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.09 / $587.91 / $2,610.00	Professional		$377.09	$587.91	$2,610.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $398.94 / $1,102.00 / $2,579.85	Facility		$398.94	$1,102.00	$2,579.85
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $398.94 / $928.00 / $1,392.00	Professional		$398.94	$928.00	$1,392.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $960.48 / $1,056.52 / $1,296.64	Professional		$960.48	$1,056.52	$1,296.64
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $696.00 / $1,160.00	Professional		$487.20	$696.00	$1,160.00