Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.92 / $383.18 / $4,933.00	Facility		$228.92	$383.18	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.03 / $237.73 / $383.18	Professional		$167.03	$237.73	$383.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.88 / $235.44 / $536.32	Facility		$164.88	$235.44	$536.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.36 / $188.99 / $316.12	Professional		$45.36	$188.99	$316.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.69 / $265.93 / $517.66	Professional		$173.69	$265.93	$517.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $228.92 / $368.99 / $4,933.00	Facility		$228.92	$368.99	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $237.73 / $298.06 / $437.88	Professional		$237.73	$298.06	$437.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $239.36 / $307.38 / $437.69	Professional		$239.36	$307.38	$437.69
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 $252.16 / $316.37 / $427.88	Professional		$252.16	$316.37	$427.88