Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.59 / $4,112.00 / $4,933.00	Facility		$352.59	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.45 / $366.15 / $538.28	Professional		$267.45	$366.15	$538.28
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 $88.56 / $442.80 / $734.46	Professional		$88.56	$442.80	$734.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.61 / $421.92 / $745.10	Professional		$271.61	$421.92	$745.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $422.58 / $4,112.00 / $4,933.00	Facility		$422.58	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $352.59 / $422.58 / $597.71	Professional		$352.59	$422.58	$597.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.77 / $255.50 / $441.91	Professional		$33.77	$255.50	$441.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,806.00 / $8,339.00	Facility		$1,450.00	$5,806.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $415.90 / $492.22 / $692.75	Professional		$415.90	$492.22	$692.75