Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.31 / $172.80 / $4,933.00	Facility		$111.31	$172.80	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.68 / $126.84 / $172.80	Professional		$91.68	$126.84	$172.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.03 / $165.55 / $224.29	Facility		$142.03	$165.55	$224.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $79.72 / $143.34	Professional		$17.16	$79.72	$143.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $130.69 / $408.60	Professional		$80.31	$130.69	$408.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $149.69 / $2,056.00 / $4,933.00	Facility		$149.69	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $111.31 / $149.69 / $193.31	Professional		$111.31	$149.69	$193.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.22 / $119.07 / $168.26	Professional		$89.22	$119.07	$168.26
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 $137.07 / $164.97 / $221.83	Professional		$137.07	$164.97	$221.83