Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.60 / $2,877.00 / $4,933.00	Facility		$640.60	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.23 / $520.52 / $676.07	Professional		$422.23	$520.52	$676.07
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 $136.79 / $696.72 / $1,322.03	Professional		$136.79	$696.72	$1,322.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.76 / $595.54 / $1,063.98	Professional		$382.76	$595.54	$1,063.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $514.07 / $2,877.00 / $4,933.00	Facility		$514.07	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $500.91 / $591.17 / $904.04	Professional		$500.91	$591.17	$904.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $332.95 / $565.53	Professional		$68.50	$332.95	$565.53
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 $508.72 / $601.20 / $821.73	Professional		$508.72	$601.20	$821.73