Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.96 / $2,877.00 / $4,933.00	Facility		$812.96	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.66 / $812.96 / $844.22	Professional		$571.66	$812.96	$844.22
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 $173.33 / $637.27 / $1,529.43	Professional		$173.33	$637.27	$1,529.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.89 / $691.37 / $1,350.86	Professional		$467.89	$691.37	$1,350.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $636.87 / $2,877.00 / $4,933.00	Facility		$636.87	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $636.87 / $710.35 / $1,020.92	Professional		$636.87	$710.35	$1,020.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $427.92 / $720.82	Professional		$68.50	$427.92	$720.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,365.17 / $6,978.00 / $9,202.00	Facility		$2,365.17	$6,978.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $636.87 / $743.44 / $974.52	Professional		$636.87	$743.44	$974.52