Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.85 / $2,056.00 / $4,933.00	Facility		$575.85	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.43 / $458.53 / $598.00	Professional		$390.43	$458.53	$598.00
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 $115.11 / $436.05 / $1,088.36	Professional		$115.11	$436.05	$1,088.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.30 / $476.24 / $958.58	Professional		$335.30	$476.24	$958.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $440.02 / $2,056.00 / $4,933.00	Facility		$440.02	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $432.30 / $484.02 / $689.53	Professional		$432.30	$484.02	$689.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $321.19 / $530.76	Professional		$68.50	$321.19	$530.76
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 $414.45 / $515.20 / $711.55	Professional		$414.45	$515.20	$711.55