Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.89 / $4,112.00 / $4,933.00	Facility		$332.89	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.52 / $345.69 / $520.30	Professional		$247.52	$345.69	$520.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,859.80 / $2,182.86 / $2,957.43	Facility		$1,859.80	$2,182.86	$2,957.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $320.70 / $643.40	Professional		$70.88	$320.70	$643.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.38 / $405.67 / $726.04	Professional		$256.38	$405.67	$726.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $403.65 / $4,112.00 / $4,933.00	Facility		$403.65	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $332.88 / $403.65 / $577.22	Professional		$332.88	$403.65	$577.22
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 $393.36 / $473.21 / $676.97	Professional		$393.36	$473.21	$676.97