Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $756.40 / $907.55 / $4,933.00	Facility		$756.40	$907.55	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $578.48 / $756.40 / $1,042.59	Professional		$578.48	$756.40	$1,042.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.10 / $2,765.94 / $3,747.40	Facility		$2,373.10	$2,765.94	$3,747.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.83 / $928.65 / $1,568.94	Professional		$172.83	$928.65	$1,568.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.23 / $749.70 / $2,742.23	Professional		$548.23	$749.70	$2,742.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $770.01 / $923.88 / $4,933.00	Facility		$770.01	$923.88	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $676.12 / $819.97 / $1,051.10	Professional		$676.12	$819.97	$1,051.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.01 / $559.27 / $871.66	Professional		$68.01	$559.27	$871.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $3,640.00 / $6,740.00	Facility		$1,527.00	$3,640.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $738.94 / $903.14 / $1,156.66	Professional		$738.94	$903.14	$1,156.66