Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.54 / $238.23 / $4,933.00	Facility		$151.54	$238.23	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.31 / $173.65 / $238.23	Professional		$119.31	$173.65	$238.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.76 / $252.64 / $342.29	Facility		$216.76	$252.64	$342.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $131.13 / $194.39	Professional		$27.49	$131.13	$194.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.78 / $181.74 / $553.91	Professional		$113.78	$181.74	$553.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $204.98 / $2,056.00 / $4,933.00	Facility		$204.98	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $151.53 / $204.98 / $266.18	Professional		$151.53	$204.98	$266.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.02 / $185.86 / $259.82	Professional		$149.02	$185.86	$259.82
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 $189.43 / $225.87 / $287.77	Professional		$189.43	$225.87	$287.77