Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.37 / $2,056.00 / $4,933.00	Facility		$385.37	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.73 / $385.37 / $400.19	Professional		$269.73	$385.37	$400.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $956.70 / $1,116.76 / $1,521.33	Facility		$956.70	$1,116.76	$1,521.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.13 / $435.71 / $573.29	Professional		$87.13	$435.71	$573.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.25 / $334.38 / $624.76	Professional		$215.25	$334.38	$624.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $286.85 / $2,056.00 / $4,933.00	Facility		$286.85	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $286.85 / $334.13 / $521.66	Professional		$286.85	$334.13	$521.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $237.58 / $366.00	Professional		$32.28	$237.58	$366.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,857.00 / $6,327.00	Facility		$1,527.00	$4,857.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $275.38 / $353.50 / $523.45	Professional		$275.38	$353.50	$523.45