Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.77 / $459.66 / $1,289.85	Facility		$270.77	$459.66	$1,289.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.75 / $220.94 / $276.05	Professional		$182.75	$220.94	$276.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $700.45 / $1,484.14 / $2,914.27	Facility		$700.45	$1,484.14	$2,914.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $471.30 / $520.91 / $620.14	Professional		$471.30	$520.91	$620.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.71 / $418.30 / $1,128.60	Professional		$222.71	$418.30	$1,128.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $688.63 / $1,289.85	Facility		$72.00	$688.63	$1,289.85
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $197.82 / $282.64	Professional		$72.00	$197.82	$282.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.33 / $135.66 / $184.99	Professional		$123.33	$135.66	$184.99
United Facility/Professional Professional Modifier Low / Median / High Price $188.83 / $233.17 / $410.99	Professional		$188.83	$233.17	$410.99