Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.39 / $4,112.00 / $4,933.00	Facility		$612.39	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.51 / $612.39 / $635.94	Professional		$430.51	$612.39	$635.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,077.81 / $2,438.73 / $3,304.11	Facility		$2,077.81	$2,438.73	$3,304.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.54 / $775.44 / $1,232.17	Professional		$125.54	$775.44	$1,232.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.64 / $505.78 / $1,017.86	Professional		$355.64	$505.78	$1,017.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $420.79 / $4,112.00 / $4,933.00	Facility		$420.79	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $420.79 / $492.32 / $761.48	Professional		$420.79	$492.32	$761.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $332.95 / $565.53	Professional		$68.50	$332.95	$565.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $9,202.00	Facility		$2,500.00	$7,780.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $465.26 / $540.29 / $704.81	Professional		$465.26	$540.29	$704.81