Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.75 / $2,056.00 / $4,933.00	Facility		$346.75	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.63 / $346.75 / $409.26	Professional		$243.63	$346.75	$409.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,357.98 / $3,941.28 / $5,339.81	Facility		$3,357.98	$3,941.28	$5,339.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.89 / $306.02 / $689.75	Professional		$80.89	$306.02	$689.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.28 / $317.27 / $664.17	Professional		$221.28	$317.27	$664.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $285.87 / $2,056.00 / $4,933.00	Facility		$285.87	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $285.87 / $341.75 / $454.91	Professional		$285.87	$341.75	$454.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.30 / $180.50 / $404.72	Professional		$32.30	$180.50	$404.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,574.00 / $8,339.00	Facility		$1,450.00	$5,574.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.33 / $323.94 / $475.83	Professional		$250.33	$323.94	$475.83