Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.34 / $865.04 / $4,933.00	Facility		$428.34	$865.04	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.26 / $461.43 / $720.86	Professional		$296.26	$461.43	$720.86
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 $102.45 / $541.79 / $903.98	Professional		$102.45	$541.79	$903.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.74 / $523.98 / $927.80	Professional		$334.74	$523.98	$927.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $496.93 / $4,112.00 / $4,933.00	Facility		$496.93	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $428.34 / $535.96 / $857.46	Professional		$428.34	$535.96	$857.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $369.49 / $644.09	Professional		$33.88	$369.49	$644.09
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 $471.76 / $576.97 / $824.93	Professional		$471.76	$576.97	$824.93