Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.13 / $2,877.00 / $4,933.00	Facility		$682.13	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.85 / $682.13 / $708.36	Professional		$450.85	$682.13	$708.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.44 / $298.14 / $424.76	Facility		$254.44	$298.14	$424.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.71 / $782.95 / $1,322.78	Professional		$145.71	$782.95	$1,322.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.85 / $557.70 / $1,133.59	Professional		$395.85	$557.70	$1,133.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $478.83 / $2,877.00 / $4,933.00	Facility		$478.83	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $478.83 / $559.29 / $799.20	Professional		$478.83	$559.29	$799.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $363.83 / $610.76	Professional		$68.50	$363.83	$610.76
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 $477.55 / $562.86 / $779.86	Professional		$477.55	$562.86	$779.86