Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.26 / $175.13 / $4,933.00	Facility		$83.26	$175.13	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $113.62 / $175.13	Professional		$63.50	$113.62	$175.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $355.87 / $415.11 / $584.02	Facility		$355.87	$415.11	$584.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $65.66 / $113.45	Professional		$14.86	$65.66	$113.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.68 / $124.82 / $317.31	Professional		$61.68	$124.82	$317.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $83.26 / $130.86 / $4,933.00	Facility		$83.26	$130.86	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $83.26 / $130.86 / $192.92	Professional		$83.26	$130.86	$192.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $134.77 / $188.01	Professional		$108.90	$134.77	$188.01
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.47 / $166.35 / $212.27	Professional		$132.47	$166.35	$212.27