Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.59 / $1,482.48 / $4,933.00	Facility		$371.59	$1,482.48	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.21 / $988.66 / $1,482.48	Professional		$253.21	$988.66	$1,482.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,416.12 / $7,409.01 / $17,809.22	Facility		$5,416.12	$7,409.01	$17,809.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.90 / $336.99 / $641.02	Professional		$67.90	$336.99	$641.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.52 / $459.52 / $459.52	Facility		$459.52	$459.52	$459.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.85 / $857.15 / $2,173.32	Professional		$270.85	$857.15	$2,173.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $936.70 / $2,877.00 / $4,933.00	Facility		$936.70	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $291.49 / $1,278.94 / $1,757.74	Professional		$291.49	$1,278.94	$1,757.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $792.99 / $994.99 / $1,394.28	Professional		$792.99	$994.99	$1,394.28
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,438.00 / $2,029.00	Facility		$464.00	$1,438.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,175.44 / $1,652.03 / $2,096.10	Professional		$1,175.44	$1,652.03	$2,096.10