Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.56 / $4,933.00 / $6,853.00	Facility		$216.56	$4,933.00	$6,853.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.81 / $2,168.50 / $3,245.57	Professional		$150.81	$2,168.50	$3,245.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.09 / $253.47 / $253.47	Facility		$43.09	$253.47	$253.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.81 / $53.24 / $278.82	Professional		$44.81	$53.24	$278.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.85 / $513.91 / $3,947.01	Professional		$166.85	$513.91	$3,947.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $228.92 / $4,933.00 / $6,853.00	Facility		$228.92	$4,933.00	$6,853.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $216.56 / $2,810.24 / $3,407.84	Professional		$216.56	$2,810.24	$3,407.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,923.15 / $2,407.72 / $3,467.13	Professional		$1,923.15	$2,407.72	$3,467.13
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,209.41 / $3,769.76 / $4,952.22	Professional		$3,209.41	$3,769.76	$4,952.22