Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,340.00 / $1,340.00 / $3,350.00	Facility		$1,340.00	$1,340.00	$3,350.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,340.00 / $1,340.00 / $1,423.75	Professional		$1,340.00	$1,340.00	$1,423.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $425.00 / $425.00	Facility		$425.00	$425.00	$425.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.75 / $425.00 / $510.00	Professional		$403.75	$425.00	$510.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $1,423.75	Professional		$1,380.10	$1,380.10	$1,423.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,340.00 / $1,482.05 / $3,350.00	Facility		$1,340.00	$1,482.05	$3,350.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,340.00 / $1,482.05 / $1,778.46	Professional		$1,340.00	$1,482.05	$1,778.46
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 $1,675.00 / $1,675.00 / $1,805.32	Professional		$1,675.00	$1,675.00	$1,805.32