Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.74 / $454.30 / $4,933.00	Facility		$220.74	$454.30	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $231.59 / $347.07	Professional		$157.50	$231.59	$347.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $844.92 / $984.78 / $1,334.22	Facility		$844.92	$984.78	$1,334.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.42 / $240.34 / $304.79	Professional		$48.42	$240.34	$304.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.59 / $276.95 / $789.87	Professional		$188.59	$276.95	$789.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $231.21 / $454.30 / $5,671.67	Facility		$231.21	$454.30	$5,671.67
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $207.25 / $274.02 / $395.36	Professional		$207.25	$274.02	$395.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $232.27 / $354.78	Professional		$30.66	$232.27	$354.78
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 $269.14 / $319.57 / $456.62	Professional		$269.14	$319.57	$456.62