Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.59 / $645.59 / $1,007.12	Facility		$645.59	$645.59	$1,007.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.74 / $645.59 / $645.59	Professional		$407.74	$645.59	$645.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $990.28 / $1,419.87 / $2,516.46	Facility		$990.28	$1,419.87	$2,516.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $902.50 / $950.00 / $1,016.50	Professional		$902.50	$950.00	$1,016.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.89 / $780.98 / $1,035.08	Professional		$310.89	$780.98	$1,035.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $639.34 / $645.59 / $1,186.27	Facility		$639.34	$645.59	$1,186.27
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $639.34 / $645.59 / $849.46	Professional		$639.34	$645.59	$849.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $562.67 / $618.94 / $759.61	Professional		$562.67	$618.94	$759.61
United Facility/Professional Professional Modifier Low / Median / High Price $285.42 / $407.74 / $679.57	Professional		$285.42	$407.74	$679.57