Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.80 / $478.80 / $746.93	Facility		$478.80	$478.80	$746.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.28 / $478.80 / $478.80	Professional		$413.28	$478.80	$478.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $394.03 / $564.96 / $1,001.28	Facility		$394.03	$564.96	$1,001.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.10 / $378.00 / $404.46	Professional		$359.10	$378.00	$404.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.60 / $504.00 / $1,134.00	Professional		$201.60	$504.00	$1,134.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $474.16 / $478.80 / $879.80	Facility		$474.16	$478.80	$879.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $474.16 / $478.80 / $630.00	Professional		$474.16	$478.80	$630.00
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 $211.68 / $302.39 / $504.00	Professional		$211.68	$302.39	$504.00