Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.09 / $569.09 / $1,775.56	Facility		$569.09	$569.09	$1,775.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.09 / $569.09 / $604.66	Professional		$569.09	$569.09	$604.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $664.37 / $1,228.09 / $2,323.21	Facility		$664.37	$1,228.09	$2,323.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.37 / $628.37 / $741.00	Professional		$628.37	$628.37	$741.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $628.37 / $1,109.73 / $1,583.49	Facility		$628.37	$1,109.73	$1,583.49
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $569.09 / $628.37 / $754.04	Professional		$569.09	$628.37	$754.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $628.37 / $942.55 / $942.55	Professional		$628.37	$942.55	$942.55
United Facility/Professional Professional Modifier Low / Median / High Price $592.79 / $659.91 / $717.29	Professional		$592.79	$659.91	$717.29