Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.97 / $2,877.00 / $4,933.00	Facility		$637.97	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.25 / $637.97 / $722.94	Professional		$464.25	$637.97	$722.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,024.15 / $1,202.05 / $1,628.58	Facility		$1,024.15	$1,202.05	$1,628.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.05 / $770.87 / $1,286.16	Professional		$131.05	$770.87	$1,286.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.00 / $576.79 / $1,060.56	Professional		$406.00	$576.79	$1,060.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $531.75 / $2,877.00 / $4,933.00	Facility		$531.75	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $531.75 / $622.14 / $874.85	Professional		$531.75	$622.14	$874.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $394.00 / $654.54	Professional		$68.50	$394.00	$654.54
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 $523.72 / $619.46 / $856.61	Professional		$523.72	$619.46	$856.61