Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $2,600.00	Facility		$1,040.00	$1,040.00	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,105.00	Professional		$1,040.00	$1,040.00	$1,105.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.57 / $1,205.84 / $2,144.31	Facility		$875.57	$1,205.84	$2,144.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $769.03 / $809.51 / $971.41	Professional		$769.03	$809.51	$971.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,105.00	Professional		$1,066.90	$1,066.90	$1,105.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,274.51 / $2,600.00	Facility		$1,040.00	$1,274.51	$2,600.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,040.00 / $1,274.51 / $1,529.41	Professional		$1,040.00	$1,274.51	$1,529.41
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 $1,235.00 / $1,235.00 / $1,333.80	Professional		$1,235.00	$1,235.00	$1,333.80