Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.18 / $2,056.00 / $4,933.00	Facility		$510.18	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.97 / $442.87 / $579.39	Professional		$327.97	$442.87	$579.39
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 $109.26 / $618.00 / $973.35	Professional		$109.26	$618.00	$973.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.13 / $463.08 / $849.97	Professional		$326.13	$463.08	$849.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $424.72 / $2,056.00 / $4,933.00	Facility		$424.72	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $418.63 / $488.42 / $669.85	Professional		$418.63	$488.42	$669.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $320.87 / $529.85	Professional		$33.96	$320.87	$529.85
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 $423.57 / $494.98 / $687.14	Professional		$423.57	$494.98	$687.14