Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.44 / $508.61 / $4,933.00	Facility		$458.44	$508.61	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.08 / $407.12 / $528.16	Professional		$317.08	$407.12	$528.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.35 / $239.87 / $337.48	Facility		$203.35	$239.87	$337.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.28 / $556.75 / $943.69	Professional		$105.28	$556.75	$943.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.77 / $418.90 / $759.64	Professional		$298.77	$418.90	$759.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $382.62 / $476.07 / $4,933.00	Facility		$382.62	$476.07	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $381.43 / $457.71 / $659.67	Professional		$381.43	$457.71	$659.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $290.46 / $488.03	Professional		$33.96	$290.46	$488.03
United Facility/Professional Facility Modifier Low / Median / High Price $208.18 / $1,386.00 / $2,029.00	Facility		$208.18	$1,386.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.04 / $447.25 / $613.29	Professional		$375.04	$447.25	$613.29