Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.77 / $624.77 / $984.00	Facility		$624.77	$624.77	$984.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $780.96 / $780.96 / $820.00	Professional		$780.96	$780.96	$820.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,576.10 / $2,355.40 / $4,174.51	Facility		$1,576.10	$2,355.40	$4,174.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,497.14 / $1,575.94 / $2,127.52	Professional		$1,497.14	$1,575.94	$2,127.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.54 / $519.54 / $649.44	Professional		$519.54	$519.54	$649.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $624.77 / $624.77 / $1,405.43	Facility		$624.77	$624.77	$1,405.43
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $780.96 / $1,405.43 / $1,720.93	Professional		$780.96	$1,405.43	$1,720.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00