Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.18 / $956.48 / $2,387.36	Facility		$765.18	$956.48	$2,387.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.90 / $771.31 / $898.91	Professional		$742.90	$771.31	$898.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $925.71 / $1,667.62 / $3,154.65	Facility		$925.71	$1,667.62	$3,154.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.82 / $762.97 / $762.97	Professional		$724.82	$762.97	$762.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.78 / $748.84 / $748.84	Professional		$88.78	$748.84	$748.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $748.85 / $1,123.28 / $2,129.11	Facility		$748.85	$1,123.28	$2,129.11
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $748.85 / $765.18 / $898.62	Professional		$748.85	$765.18	$898.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $821.92 / $854.33 / $861.17	Professional		$821.92	$854.33	$861.17
United Facility/Professional Facility Modifier Low / Median / High Price $748.84 / $748.84 / $748.84	Facility		$748.84	$748.84	$748.84
United Facility/Professional Professional Modifier Low / Median / High Price $748.85 / $748.85 / $794.45	Professional		$748.85	$748.85	$794.45