Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.15 / $852.15 / $1,329.35	Facility		$852.15	$852.15	$1,329.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.54 / $852.15 / $852.15	Professional		$735.54	$852.15	$852.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $701.27 / $1,005.49 / $1,782.05	Facility		$701.27	$1,005.49	$1,782.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $639.11 / $672.75 / $719.84	Professional		$639.11	$672.75	$719.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $1,093.21 / $1,366.51	Professional		$275.00	$1,093.21	$1,366.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $165.36 / $852.15 / $1,565.83	Facility		$165.36	$852.15	$1,565.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $165.36 / $799.15 / $1,076.40	Professional		$165.36	$799.15	$1,076.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $376.74 / $538.20 / $897.00	Professional		$376.74	$538.20	$897.00