Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.02 / $121.50 / $4,933.00	Facility		$36.02	$121.50	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $76.22 / $123.80	Professional		$28.91	$76.22	$123.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.03 / $189.14 / $257.66	Facility		$162.03	$189.14	$257.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $31.15 / $61.18	Professional		$8.09	$31.15	$61.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.78 / $56.25 / $147.87	Professional		$29.78	$56.25	$147.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $36.02 / $2,056.00 / $4,933.00	Facility		$36.02	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $122.56 / $171.12	Professional		$36.02	$122.56	$171.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.16 / $101.44 / $146.39	Professional		$81.16	$101.44	$146.39
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 $112.74 / $147.44 / $194.15	Professional		$112.74	$147.44	$194.15