Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.41 / $617.41 / $617.41	Facility		$617.41	$617.41	$617.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.41 / $617.41 / $617.41	Professional		$617.41	$617.41	$617.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,128.14 / $2,185.44 / $4,222.47	Facility		$1,128.14	$2,185.44	$4,222.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $690.60 / $763.30 / $908.69	Professional		$690.60	$763.30	$908.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.00 / $660.00 / $660.00	Professional		$660.00	$660.00	$660.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $617.41 / $704.37 / $704.37	Facility		$617.41	$704.37	$704.37
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $617.41 / $704.37 / $862.48	Professional		$617.41	$704.37	$862.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,080.70 / $1,080.70 / $1,080.70	Professional		$1,080.70	$1,080.70	$1,080.70