Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.93 / $493.93 / $493.93	Facility		$493.93	$493.93	$493.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.53 / $460.15 / $493.93	Professional		$402.53	$460.15	$493.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $822.41 / $1,609.44 / $3,088.21	Facility		$822.41	$1,609.44	$3,088.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $499.43 / $546.75 / $709.72	Professional		$499.43	$546.75	$709.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.00 / $470.74 / $684.99	Professional		$298.00	$470.74	$684.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $493.93 / $520.78 / $520.78	Facility		$493.93	$520.78	$520.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $451.86 / $520.78 / $632.60	Professional		$451.86	$520.78	$632.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $453.82 / $541.26 / $756.51	Professional		$453.82	$541.26	$756.51