Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.74 / $260.74 / $813.51	Facility		$260.74	$260.74	$813.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.74 / $260.74 / $260.74	Professional		$260.74	$260.74	$260.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.08 / $587.79 / $1,120.01	Facility		$313.08	$587.79	$1,120.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.85 / $274.58 / $274.58	Professional		$260.85	$274.58	$274.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.73 / $277.02 / $277.02	Professional		$215.73	$277.02	$277.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $260.74 / $325.92 / $725.51	Facility		$260.74	$325.92	$725.51
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $260.74 / $279.52 / $335.42	Professional		$260.74	$279.52	$335.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $431.85	Professional		$30.00	$30.00	$431.85
United Facility/Professional Professional Modifier Low / Median / High Price $271.60 / $271.60 / $288.17	Professional		$271.60	$271.60	$288.17