Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.61 / $285.00 / $4,933.00	Facility		$19.61	$285.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.94 / $23.35 / $28.14	Professional		$14.94	$23.35	$28.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.15 / $147.04 / $199.21	Facility		$126.15	$147.04	$199.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $25.90 / $33.61	Professional		$4.24	$25.90	$33.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $23.84 / $67.62	Professional		$15.06	$23.84	$67.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $27.18 / $719.50 / $4,933.00	Facility		$27.18	$719.50	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.61 / $27.18 / $35.33	Professional		$19.61	$27.18	$35.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $10.65 / $15.55	Professional		$10.65	$10.65	$15.55
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 $25.72 / $31.95 / $43.71	Professional		$25.72	$31.95	$43.71