Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.14 / $2,877.00 / $4,933.00	Facility		$166.14	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.79 / $166.06 / $172.53	Professional		$114.79	$166.06	$172.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $250.56	Facility		$50.12	$50.12	$250.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $97.76 / $270.60	Professional		$32.92	$97.76	$270.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.83 / $158.47 / $295.45	Professional		$94.83	$158.47	$295.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $121.84 / $2,877.00 / $4,933.00	Facility		$121.84	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $121.84 / $152.62 / $206.89	Professional		$121.84	$152.62	$206.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.21 / $156.41 / $232.25	Professional		$115.21	$156.41	$232.25
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 $124.87 / $151.53 / $218.46	Professional		$124.87	$151.53	$218.46