Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.92 / $2,877.00 / $6,805.13	Facility		$707.92	$2,877.00	$6,805.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.33 / $561.34 / $899.85	Professional		$470.33	$561.34	$899.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,416.17 / $4,009.58 / $5,432.34	Facility		$3,416.17	$4,009.58	$5,432.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.01 / $527.13 / $923.73	Professional		$142.01	$527.13	$923.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.94 / $570.26 / $1,123.97	Professional		$384.94	$570.26	$1,123.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $544.84 / $2,877.00 / $6,805.13	Facility		$544.84	$2,877.00	$6,805.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $503.63 / $621.27 / $899.85	Professional		$503.63	$621.27	$899.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $366.33 / $613.24	Professional		$68.50	$366.33	$613.24
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 $466.89 / $618.54 / $875.60	Professional		$466.89	$618.54	$875.60