Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.82 / $287.10 / $4,933.00	Facility		$180.82	$287.10	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.87 / $199.80 / $273.43	Professional		$134.87	$199.80	$273.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.42 / $307.27 / $432.30	Facility		$263.42	$307.27	$432.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $144.19 / $249.17	Professional		$32.64	$144.19	$249.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.74 / $215.16 / $656.06	Professional		$134.74	$215.16	$656.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $189.09 / $287.10 / $4,933.00	Facility		$189.09	$287.10	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $166.28 / $237.08 / $304.24	Professional		$166.28	$237.08	$304.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $176.26 / $219.44 / $305.01	Professional		$176.26	$219.44	$305.01
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,594.00	Facility		$773.00	$3,005.00	$4,594.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.99 / $261.05 / $337.79	Professional		$207.99	$261.05	$337.79