Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $768.00 / $2,396.16	Facility		$768.00	$768.00	$2,396.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.00 / $768.00 / $956.16	Professional		$768.00	$768.00	$956.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $586.54 / $1,056.63 / $1,998.84	Facility		$586.54	$1,056.63	$1,998.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.73 / $392.35 / $392.35	Professional		$372.73	$392.35	$392.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.38 / $816.00 / $2,761.46	Professional		$64.38	$816.00	$2,761.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $1,497.60 / $2,396.16	Facility		$768.00	$1,497.60	$2,396.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $768.00 / $1,530.00 / $1,836.00	Professional		$768.00	$1,530.00	$1,836.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,313.77 / $1,313.77 / $1,313.77	Professional		$1,313.77	$1,313.77	$1,313.77
United Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $1,041.59	Professional		$800.00	$800.00	$1,041.59