Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.40 / $738.40 / $1,846.00	Facility		$738.40	$738.40	$1,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.40 / $738.40 / $797.04	Professional		$738.40	$738.40	$797.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.08 / $74.73 / $132.44	Facility		$54.08	$74.73	$132.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $50.00 / $60.00	Professional		$47.50	$50.00	$60.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.55 / $784.55 / $784.55	Professional		$784.55	$784.55	$784.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $815.32 / $1,846.00 / $5,538.00	Facility		$815.32	$1,846.00	$5,538.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $738.40 / $815.32 / $978.38	Professional		$738.40	$815.32	$978.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $923.00 / $923.00	Facility		$923.00	$923.00	$923.00
United Facility/Professional Professional Modifier Low / Median / High Price $769.17 / $769.17 / $840.70	Professional		$769.17	$769.17	$840.70