Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.52 / $2,056.00 / $4,933.00	Facility		$448.52	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.92 / $448.52 / $552.80	Professional		$315.92	$448.52	$552.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,394.84 / $1,637.13 / $2,218.06	Facility		$1,394.84	$1,637.13	$2,218.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.07 / $531.27 / $880.79	Professional		$95.07	$531.27	$880.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.11 / $381.87 / $755.91	Professional		$266.11	$381.87	$755.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $330.24 / $2,056.00 / $4,933.00	Facility		$330.24	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $330.24 / $379.77 / $581.73	Professional		$330.24	$379.77	$581.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $225.28 / $428.75	Professional		$33.81	$225.28	$428.75
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 $323.07 / $387.43 / $533.40	Professional		$323.07	$387.43	$533.40