Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $997.50 / $997.50 / $1,556.10	Facility		$997.50	$997.50	$1,556.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $861.00 / $997.50 / $997.50	Professional		$861.00	$997.50	$997.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $736.31 / $736.31 / $736.31	Facility		$736.31	$736.31	$736.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $699.49 / $736.31 / $994.02	Professional		$699.49	$736.31	$994.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.26 / $1,279.89 / $1,599.86	Professional		$645.26	$1,279.89	$1,599.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $980.64 / $997.50 / $1,832.91	Facility		$980.64	$997.50	$1,832.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $980.64 / $997.50 / $1,260.00	Professional		$980.64	$997.50	$1,260.00
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 $437.79 / $625.41 / $1,042.34	Professional		$437.79	$625.41	$1,042.34