Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.08 / $490.08 / $1,529.05	Facility		$490.08	$490.08	$1,529.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.08 / $490.08 / $490.08	Professional		$490.08	$490.08	$490.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $587.91 / $1,103.79 / $2,103.21	Facility		$587.91	$1,103.79	$2,103.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.84 / $515.62 / $515.62	Professional		$489.84	$515.62	$515.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.71 / $520.71 / $520.71	Professional		$520.71	$520.71	$520.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $490.08 / $612.60 / $1,363.65	Facility		$490.08	$612.60	$1,363.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $490.08 / $541.13 / $649.35	Professional		$490.08	$541.13	$649.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $510.50 / $510.50 / $541.64	Professional		$510.50	$510.50	$541.64