Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $844.92 / $2,877.00 / $4,933.00	Facility		$844.92	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $594.23 / $844.92 / $877.42	Professional		$594.23	$844.92	$877.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,851.90 / $3,347.30 / $4,535.05	Facility		$2,851.90	$3,347.30	$4,535.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.34 / $1,007.91 / $1,632.82	Professional		$183.34	$1,007.91	$1,632.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.13 / $770.66 / $1,402.92	Professional		$486.13	$770.66	$1,402.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $595.66 / $2,877.00 / $4,933.00	Facility		$595.66	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $595.66 / $693.00 / $1,024.81	Professional		$595.66	$693.00	$1,024.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $460.38 / $784.12	Professional		$68.56	$460.38	$784.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $9,202.00	Facility		$2,500.00	$7,780.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $643.88 / $752.29 / $1,075.83	Professional		$643.88	$752.29	$1,075.83