Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.34 / $2,877.00 / $4,933.00	Facility		$224.34	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.02 / $232.97 / $356.33	Professional		$171.02	$232.97	$356.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.37 / $234.22 / $536.32	Facility		$160.37	$234.22	$536.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $195.07 / $312.11	Professional		$47.99	$195.07	$312.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.10 / $262.55 / $483.30	Professional		$173.10	$262.55	$483.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $270.22 / $2,877.00 / $4,933.00	Facility		$270.22	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $232.97 / $289.08 / $418.11	Professional		$232.97	$289.08	$418.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $217.42 / $271.47 / $385.14	Professional		$217.42	$271.47	$385.14
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 $253.44 / $310.14 / $437.65	Professional		$253.44	$310.14	$437.65