Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $968.29 / $2,056.00 / $4,933.00	Facility		$968.29	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $677.29 / $941.07 / $1,005.54	Professional		$677.29	$941.07	$1,005.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,338.85 / $3,918.82 / $5,309.38	Facility		$3,338.85	$3,918.82	$5,309.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.98 / $730.25 / $1,249.60	Professional		$190.98	$730.25	$1,249.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.91 / $864.58 / $1,588.53	Professional		$551.91	$864.58	$1,588.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $757.56 / $2,056.00 / $4,933.00	Facility		$757.56	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $749.98 / $776.37 / $1,119.64	Professional		$749.98	$776.37	$1,119.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $629.51 / $795.59 / $1,133.12	Professional		$629.51	$795.59	$1,133.12
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $726.71 / $907.15 / $1,188.64	Professional		$726.71	$907.15	$1,188.64