Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $921.20 / $1,273.00	Facility		$150.00	$921.20	$1,273.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.62 / $921.20 / $921.20	Professional		$568.62	$921.20	$921.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,151.13 / $2,416.05 / $4,668.02	Facility		$1,151.13	$2,416.05	$4,668.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $612.41 / $816.55 / $955.03	Professional		$612.41	$816.55	$955.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.45 / $659.10 / $659.10	Professional		$293.45	$659.10	$659.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $921.20 / $1,143.08 / $1,143.08	Facility		$921.20	$1,143.08	$1,143.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $479.99 / $921.20 / $1,143.08	Professional		$479.99	$921.20	$1,143.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.78 / $75.78 / $757.96	Professional		$75.78	$75.78	$757.96
United Facility/Professional Professional Modifier Low / Median / High Price $467.11 / $1,216.05 / $1,699.19	Professional		$467.11	$1,216.05	$1,699.19