Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.02 / $620.00 / $4,933.00	Facility		$265.02	$620.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.28 / $278.27 / $399.30	Professional		$197.28	$278.27	$399.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,190.09 / $2,554.67 / $3,594.23	Facility		$2,190.09	$2,554.67	$3,594.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.80 / $229.31 / $338.79	Professional		$45.80	$229.31	$338.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.43 / $295.30 / $948.13	Professional		$196.43	$295.30	$948.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $269.79 / $1,370.00 / $4,933.00	Facility		$269.79	$1,370.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $245.99 / $321.56 / $448.84	Professional		$245.99	$321.56	$448.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $247.39 / $360.86	Professional		$31.89	$247.39	$360.86
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 $294.27 / $358.64 / $475.58	Professional		$294.27	$358.64	$475.58