Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.14 / $4,933.00 / $4,933.00	Facility		$546.14	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.59 / $546.14 / $566.37	Professional		$398.59	$546.14	$566.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,971.00 / $2,299.11 / $3,234.68	Facility		$1,971.00	$2,299.11	$3,234.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.34 / $353.92 / $637.52	Professional		$101.34	$353.92	$637.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.19 / $597.52 / $736.63	Professional		$360.19	$597.52	$736.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $470.61 / $4,933.00 / $4,933.00	Facility		$470.61	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $465.82 / $470.61 / $710.57	Professional		$465.82	$470.61	$710.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $309.36 / $384.68 / $560.40	Professional		$309.36	$384.68	$560.40
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 $472.02 / $590.07 / $793.07	Professional		$472.02	$590.07	$793.07