Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.66 / $555.66 / $866.83	Facility		$555.66	$555.66	$866.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.01 / $555.66 / $555.66	Professional		$503.01	$555.66	$555.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $474.48 / $661.62 / $1,162.02	Facility		$474.48	$661.62	$1,162.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.75 / $438.68 / $469.39	Professional		$416.75	$438.68	$469.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.37 / $392.10 / $813.65	Professional		$296.37	$392.10	$813.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $555.66 / $555.66 / $1,021.03	Facility		$555.66	$555.66	$1,021.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $555.66 / $679.35 / $788.04	Professional		$555.66	$679.35	$788.04
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 $245.66 / $433.26 / $722.10	Professional		$245.66	$433.26	$722.10