Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.26 / $1,289.76 / $2,204.98	Facility		$345.26	$1,289.76	$2,204.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.26 / $355.61 / $711.22	Professional		$345.26	$355.61	$711.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $540.79 / $744.80 / $1,324.45	Facility		$540.79	$744.80	$1,324.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $500.00 / $600.00	Professional		$475.00	$500.00	$600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.51 / $440.51 / $32,656.25	Professional		$440.51	$440.51	$32,656.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $841.45 / $1,289.76 / $2,204.98	Facility		$841.45	$1,289.76	$2,204.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $345.26 / $711.22	Professional		$11.46	$345.26	$711.22
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 $520.75 / $520.75 / $552.52	Professional		$520.75	$520.75	$552.52