Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.90 / $695.90 / $1,581.60	Facility		$695.90	$695.90	$1,581.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.90 / $695.90 / $739.40	Professional		$695.90	$695.90	$739.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.41 / $225.05 / $400.20	Facility		$163.41	$225.05	$400.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.53 / $151.08 / $181.30	Professional		$143.53	$151.08	$181.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.00 / $739.40 / $739.40	Professional		$612.00	$739.40	$739.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $139.18 / $170.76 / $1,170.38	Facility		$139.18	$170.76	$1,170.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $170.76 / $170.76 / $695.90	Professional		$170.76	$170.76	$695.90
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 $85.80 / $85.80 / $173.03	Professional		$85.80	$85.80	$173.03