Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.88 / $2,877.00 / $4,933.00	Facility		$571.88	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.09 / $616.63 / $948.12	Professional		$411.09	$616.63	$948.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,088.07 / $4,798.18 / $6,500.78	Facility		$4,088.07	$4,798.18	$6,500.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.35 / $640.55 / $1,124.98	Professional		$120.35	$640.55	$1,124.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.37 / $620.10 / $1,293.30	Professional		$359.37	$620.10	$1,293.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $602.87 / $2,877.00 / $4,933.00	Facility		$602.87	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $593.87 / $671.03 / $967.56	Professional		$593.87	$671.03	$967.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $475.32 / $796.85	Professional		$67.55	$475.32	$796.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,640.00 / $6,327.00	Facility		$1,050.00	$3,640.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $617.20 / $719.69 / $944.81	Professional		$617.20	$719.69	$944.81