Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.27 / $2,056.00 / $4,933.00	Facility		$196.27	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.09 / $203.82 / $332.60	Professional		$151.09	$203.82	$332.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.20 / $352.35 / $477.38	Facility		$300.20	$352.35	$477.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.37 / $250.43 / $421.28	Professional		$41.37	$250.43	$421.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.96 / $221.90 / $446.32	Professional		$138.96	$221.90	$446.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $259.58 / $2,056.00 / $4,933.00	Facility		$259.58	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $259.58 / $360.59	Professional		$203.81	$259.58	$360.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $192.46 / $289.27	Professional		$30.69	$192.46	$289.27
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.83 / $297.83 / $411.13	Professional		$239.83	$297.83	$411.13