Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.56 / $2,056.00 / $4,933.00	Facility		$236.56	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.12 / $222.02 / $286.92	Professional		$164.12	$222.02	$286.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.08 / $217.14 / $292.73	Facility		$184.08	$217.14	$292.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $276.27 / $485.22	Professional		$51.42	$276.27	$485.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.08 / $236.81 / $401.78	Professional		$154.08	$236.81	$401.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $214.13 / $2,056.00 / $4,933.00	Facility		$214.13	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $208.32 / $239.56 / $329.81	Professional		$208.32	$239.56	$329.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $172.11 / $278.26	Professional		$32.13	$172.11	$278.26
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $208.04 / $250.58 / $356.05	Professional		$208.04	$250.58	$356.05