Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.12 / $4,112.00 / $4,933.00	Facility		$863.12	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.60 / $863.12 / $896.31	Professional		$572.60	$863.12	$896.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,259.33 / $3,825.49 / $5,182.93	Facility		$3,259.33	$3,825.49	$5,182.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $824.26 / $1,622.76	Professional		$170.00	$824.26	$1,622.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.96 / $768.33 / $1,433.45	Professional		$496.96	$768.33	$1,433.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $677.86 / $4,112.00 / $4,933.00	Facility		$677.86	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $675.68 / $754.04 / $1,077.72	Professional		$675.68	$754.04	$1,077.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $460.38 / $784.12	Professional		$68.56	$460.38	$784.12
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,702.00 / $10,652.00	Facility		$3,500.00	$8,702.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $669.42 / $785.14 / $1,022.48	Professional		$669.42	$785.14	$1,022.48