Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.49 / $523.51 / $4,933.00	Facility		$415.49	$523.51	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.01 / $415.49 / $648.62	Professional		$302.01	$415.49	$648.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $755.16 / $880.16 / $1,192.48	Facility		$755.16	$880.16	$1,192.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.03 / $363.04 / $569.94	Professional		$73.03	$363.04	$569.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.58 / $447.27 / $1,540.89	Professional		$310.58	$447.27	$1,540.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $415.49 / $889.70 / $4,933.00	Facility		$415.49	$889.70	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $383.37 / $442.19 / $685.40	Professional		$383.37	$442.19	$685.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $295.97 / $508.99	Professional		$33.76	$295.97	$508.99
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,386.00 / $2,029.00	Facility		$464.00	$1,386.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $413.48 / $501.95 / $733.95	Professional		$413.48	$501.95	$733.95