Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $439.10 / $4,933.00 / $4,933.00	Facility		$439.10	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.15 / $439.10 / $591.76	Professional		$362.15	$439.10	$591.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,426.65 / $1,662.82 / $2,252.85	Facility		$1,426.65	$1,662.82	$2,252.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.62 / $278.02 / $467.08	Professional		$75.62	$278.02	$467.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.38 / $463.94 / $561.58	Professional		$239.38	$463.94	$561.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $306.20 / $4,933.00 / $4,933.00	Facility		$306.20	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $306.20 / $347.03 / $455.36	Professional		$306.20	$347.03	$455.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,740.00	Facility		$1,906.00	$4,645.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $303.62 / $374.09 / $492.46	Professional		$303.62	$374.09	$492.46