Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.85 / $4,933.00 / $4,933.00	Facility		$179.85	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.13 / $179.85 / $215.20	Professional		$143.13	$179.85	$215.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $72.00 / $336.43	Facility		$63.00	$72.00	$336.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.41 / $147.19 / $353.25	Professional		$42.41	$147.19	$353.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.55 / $396.55 / $435.81	Professional		$396.55	$396.55	$435.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $179.85 / $287.18 / $4,933.00	Facility		$179.85	$287.18	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $179.85 / $287.18 / $419.19	Professional		$179.85	$287.18	$419.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $9,202.00	Facility		$2,500.00	$7,780.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $270.85 / $319.02 / $451.34	Professional		$270.85	$319.02	$451.34