Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.57 / $4,933.00 / $4,933.00	Facility		$196.57	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.07 / $196.57 / $225.14	Professional		$84.07	$196.57	$225.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $595.21 / $813.60 / $1,879.53	Facility		$595.21	$813.60	$1,879.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.16 / $832.42 / $1,498.37	Professional		$158.16	$832.42	$1,498.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.07 / $234.07 / $257.24	Professional		$234.07	$234.07	$257.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $187.50 / $3,692.19 / $4,933.00	Facility		$187.50	$3,692.19	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $187.50 / $196.57 / $253.25	Professional		$187.50	$196.57	$253.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $153.69 / $170.77	Professional		$30.00	$153.69	$170.77
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.94 / $232.59 / $343.81	Professional		$188.94	$232.59	$343.81