Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $889.20 / $889.20 / $1,387.15	Facility		$889.20	$889.20	$1,387.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $767.52 / $889.20 / $889.20	Professional		$767.52	$889.20	$889.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $843.84 / $843.84 / $888.25	Facility		$843.84	$843.84	$888.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $843.84 / $888.25 / $1,199.14	Professional		$843.84	$888.25	$1,199.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.40 / $936.00 / $1,344.83	Professional		$374.40	$936.00	$1,344.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $880.59 / $889.20 / $1,633.91	Facility		$880.59	$889.20	$1,633.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $880.59 / $889.20 / $1,123.20	Professional		$880.59	$889.20	$1,123.20
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 $393.12 / $561.60 / $936.00	Professional		$393.12	$561.60	$936.00