Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.66 / $4,933.00 / $4,933.00	Facility		$644.66	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.59 / $644.66 / $669.46	Professional		$453.59	$644.66	$669.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,851.90 / $3,347.30 / $4,535.05	Facility		$2,851.90	$3,347.30	$4,535.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.72 / $639.26 / $1,243.66	Professional		$131.72	$639.26	$1,243.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.86 / $580.84 / $1,074.21	Professional		$372.86	$580.84	$1,074.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $501.43 / $644.66 / $6,906.00	Facility		$501.43	$644.66	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $501.43 / $559.28 / $810.08	Professional		$501.43	$559.28	$810.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $351.43 / $577.11	Professional		$68.50	$351.43	$577.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $9,202.00	Facility		$2,500.00	$7,780.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $499.96 / $582.52 / $785.73	Professional		$499.96	$582.52	$785.73