Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.46 / $4,112.00 / $4,933.00	Facility		$186.46	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.93 / $186.46 / $193.36	Professional		$132.93	$186.46	$193.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,282.84 / $4,991.80 / $6,763.10	Facility		$4,282.84	$4,991.80	$6,763.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $133.99 / $218.37	Professional		$34.71	$133.99	$218.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.24 / $179.52 / $247.52	Professional		$109.24	$179.52	$247.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $163.94 / $4,112.00 / $4,933.00	Facility		$163.94	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $164.25 / $246.83	Professional		$157.63	$164.25	$246.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.70 / $174.72 / $254.37	Professional		$138.70	$174.72	$254.37
United Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $10,192.00 / $14,705.00	Facility		$5,000.00	$10,192.00	$14,705.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.94 / $193.45 / $264.08	Professional		$151.94	$193.45	$264.08