Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $979.25 / $979.25 / $1,224.06	Facility		$979.25	$979.25	$1,224.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $958.44 / $979.25 / $1,102.28	Professional		$958.44	$979.25	$1,102.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.72 / $210.72 / $210.72	Facility		$210.72	$210.72	$210.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.29 / $210.72 / $284.47	Professional		$143.29	$210.72	$284.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $547.26 / $1,354.64 / $1,693.30	Professional		$547.26	$1,354.64	$1,693.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $930.29 / $979.25 / $1,799.37	Facility		$930.29	$979.25	$1,799.37
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $918.34 / $1,014.99 / $1,167.23	Professional		$918.34	$1,014.99	$1,167.23
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 $431.84 / $616.91 / $1,349.77	Professional		$431.84	$616.91	$1,349.77