Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.81 / $2,877.00 / $4,933.00	Facility		$248.81	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.40 / $248.81 / $354.76	Professional		$195.40	$248.81	$354.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $373.77 / $435.65 / $590.23	Facility		$373.77	$435.65	$590.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.39 / $188.93 / $332.51	Professional		$51.39	$188.93	$332.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.10 / $277.61 / $459.87	Professional		$197.10	$277.61	$459.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $354.76 / $2,877.00 / $4,933.00	Facility		$354.76	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $248.81 / $356.04 / $505.55	Professional		$248.81	$356.04	$505.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $237.58 / $366.00	Professional		$32.28	$237.58	$366.00
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $346.23 / $424.24 / $652.55	Professional		$346.23	$424.24	$652.55