Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.46 / $4,933.00 / $5,757.00	Facility		$250.46	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.91 / $250.46 / $281.32	Professional		$185.91	$250.46	$281.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,788.05 / $3,254.50 / $4,433.52	Facility		$2,788.05	$3,254.50	$4,433.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $209.80 / $377.22	Professional		$51.30	$209.80	$377.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.80 / $313.95 / $526.05	Professional		$161.80	$313.95	$526.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $196.00 / $4,933.00 / $5,757.00	Facility		$196.00	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $196.00 / $225.40 / $409.00	Professional		$196.00	$225.40	$409.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $191.62 / $242.09 / $349.05	Professional		$191.62	$242.09	$349.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,857.00 / $6,327.00	Facility		$1,527.00	$4,857.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.36 / $287.06 / $459.43	Professional		$219.36	$287.06	$459.43