Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.26 / $4,933.00 / $4,933.00	Facility		$595.26	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.21 / $595.26 / $617.30	Professional		$430.21	$595.26	$617.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,136.39 / $2,490.04 / $3,373.60	Facility		$2,136.39	$2,490.04	$3,373.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.13 / $404.92 / $720.63	Professional		$110.13	$404.92	$720.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.03 / $623.51 / $794.63	Professional		$392.03	$623.51	$794.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $512.05 / $4,933.00 / $4,933.00	Facility		$512.05	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $506.22 / $512.05 / $680.84	Professional		$506.22	$512.05	$680.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $336.86 / $419.03 / $616.67	Professional		$336.86	$419.03	$616.67
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 $528.52 / $661.25 / $864.53	Professional		$528.52	$661.25	$864.53