Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.36 / $2,056.00 / $4,933.00	Facility		$255.36	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.27 / $255.36 / $407.01	Professional		$192.27	$255.36	$407.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,307.00 / $1,525.67 / $2,078.38	Facility		$1,307.00	$1,525.67	$2,078.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.07 / $319.70 / $479.56	Professional		$57.07	$319.70	$479.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.13 / $321.54 / $627.71	Professional		$208.13	$321.54	$627.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $281.31 / $2,056.00 / $4,933.00	Facility		$281.31	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $255.36 / $308.48 / $474.02	Professional		$255.36	$308.48	$474.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $280.76 / $428.68	Professional		$32.34	$280.76	$428.68
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 $287.97 / $356.20 / $485.06	Professional		$287.97	$356.20	$485.06