Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.78 / $113.19 / $4,933.00	Facility		$105.78	$113.19	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.30 / $105.78 / $113.19	Professional		$73.30	$105.78	$113.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,013.82 / $1,181.64 / $1,600.93	Facility		$1,013.82	$1,181.64	$1,600.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.78 / $93.12 / $154.99	Professional		$22.78	$93.12	$154.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $98.81 / $361.12	Professional		$76.20	$98.81	$361.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $85.62 / $2,056.00 / $4,933.00	Facility		$85.62	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $85.62 / $105.78 / $135.63	Professional		$85.62	$105.78	$135.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $101.40 / $144.61	Professional		$82.26	$101.40	$144.61
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 $88.85 / $105.36 / $142.96	Professional		$88.85	$105.36	$142.96