Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.72 / $4,112.00 / $4,933.00	Facility		$411.72	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.48 / $438.73 / $669.24	Professional		$315.48	$438.73	$669.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,444.48 / $2,869.12 / $3,887.20	Facility		$2,444.48	$2,869.12	$3,887.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.32 / $471.19 / $781.19	Professional		$84.32	$471.19	$781.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.00 / $496.63 / $878.88	Professional		$316.00	$496.63	$878.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $509.63 / $4,112.00 / $4,933.00	Facility		$509.63	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $411.72 / $509.63 / $823.03	Professional		$411.72	$509.63	$823.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $297.62 / $542.99	Professional		$33.81	$297.62	$542.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,202.00 / $7,355.00	Facility		$1,450.00	$5,202.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $481.55 / $578.40 / $825.97	Professional		$481.55	$578.40	$825.97