Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.56 / $751.56 / $2,173.53	Facility		$751.56	$751.56	$2,173.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.91 / $751.56 / $751.56	Professional		$363.91	$751.56	$751.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.55 / $1,464.14 / $3,637.28	Facility		$954.55	$1,464.14	$3,637.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.77 / $477.77 / $477.77	Professional		$477.77	$477.77	$477.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $695.77 / $751.56 / $2,434.35	Facility		$695.77	$751.56	$2,434.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $751.56 / $751.56 / $751.56	Professional		$751.56	$751.56	$751.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00