Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.84 / $981.66 / $4,933.00	Facility		$686.84	$981.66	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.31 / $662.03 / $1,019.42	Professional		$430.31	$662.03	$1,019.42
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 $145.93 / $794.78 / $1,311.39	Professional		$145.93	$794.78	$1,311.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.77 / $719.19 / $1,353.75	Professional		$464.77	$719.19	$1,353.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $686.84 / $981.66 / $4,933.00	Facility		$686.84	$981.66	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $661.40 / $728.00 / $1,045.46	Professional		$661.40	$728.00	$1,045.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.39 / $517.32 / $884.65	Professional		$101.39	$517.32	$884.65
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 $677.43 / $807.50 / $1,085.89	Professional		$677.43	$807.50	$1,085.89