Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.39 / $2,056.00 / $4,933.00	Facility		$467.39	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.36 / $467.39 / $528.71	Professional		$328.36	$467.39	$528.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $521.53 / $615.20 / $857.52	Facility		$521.53	$615.20	$857.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.18 / $571.67 / $953.82	Professional		$97.18	$571.67	$953.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.29 / $420.44 / $779.98	Professional		$299.29	$420.44	$779.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $375.13 / $2,056.00 / $4,933.00	Facility		$375.13	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $375.13 / $442.69 / $606.21	Professional		$375.13	$442.69	$606.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.30 / $265.01 / $503.97	Professional		$32.30	$265.01	$503.97
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.10 / $442.65 / $598.66	Professional		$364.10	$442.65	$598.66