Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.37 / $517.16 / $4,933.00	Facility		$409.37	$517.16	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.64 / $409.37 / $517.16	Professional		$295.64	$409.37	$517.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $166.38 / $234.08	Facility		$142.63	$166.38	$234.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.77 / $512.82 / $1,012.15	Professional		$91.77	$512.82	$1,012.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.38 / $426.12 / $1,532.26	Professional		$309.38	$426.12	$1,532.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $409.37 / $484.84 / $4,933.00	Facility		$409.37	$484.84	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $409.37 / $484.84 / $600.59	Professional		$409.37	$484.84	$600.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.62 / $293.20 / $482.94	Professional		$33.62	$293.20	$482.94
United Facility/Professional Facility Modifier Low / Median / High Price $313.16 / $1,247.00 / $2,029.00	Facility		$313.16	$1,247.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $428.74 / $530.16 / $686.30	Professional		$428.74	$530.16	$686.30