Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.95 / $849.91 / $4,933.00	Facility		$617.95	$849.91	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.44 / $641.72 / $882.60	Professional		$496.44	$641.72	$882.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.53 / $124.53 / $457.83	Facility		$124.53	$124.53	$457.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.53 / $434.94 / $842.41	Professional		$124.53	$434.94	$842.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.95 / $697.99 / $1,195.05	Professional		$469.95	$697.99	$1,195.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $617.95 / $863.82 / $4,933.00	Facility		$617.95	$863.82	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $620.04 / $863.82 / $1,107.32	Professional		$620.04	$863.82	$1,107.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $594.65 / $885.06	Professional		$65.66	$594.65	$885.06
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 $664.25 / $869.18 / $1,172.00	Professional		$664.25	$869.18	$1,172.00