Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.44 / $4,933.00 / $6,853.00	Facility		$639.44	$4,933.00	$6,853.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.24 / $664.03 / $859.49	Professional		$483.24	$664.03	$859.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,643.88 / $6,624.26 / $8,974.82	Facility		$5,643.88	$6,624.26	$8,974.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.21 / $548.33 / $848.58	Professional		$123.21	$548.33	$848.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.35 / $674.71 / $1,203.24	Professional		$463.35	$674.71	$1,203.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $688.53 / $4,933.00 / $6,853.00	Facility		$688.53	$4,933.00	$6,853.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $633.45 / $693.78 / $1,046.64	Professional		$633.45	$693.78	$1,046.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $471.17 / $765.03	Professional		$68.56	$471.17	$765.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,806.00 / $8,339.00	Facility		$1,450.00	$5,806.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $634.79 / $763.00 / $1,022.01	Professional		$634.79	$763.00	$1,022.01