Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.61 / $2,877.00 / $4,933.00	Facility		$792.61	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.99 / $688.55 / $792.61	Professional		$575.99	$688.55	$792.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,897.85 / $2,805.98 / $3,761.33	Facility		$1,897.85	$2,805.98	$3,761.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.72 / $624.41 / $1,038.58	Professional		$158.72	$624.41	$1,038.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.41 / $756.06 / $1,463.37	Professional		$538.41	$756.06	$1,463.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $651.22 / $2,877.00 / $4,933.00	Facility		$651.22	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $611.29 / $670.69 / $987.20	Professional		$611.29	$670.69	$987.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $532.73 / $802.26	Professional		$65.50	$532.73	$802.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,819.00 / $7,355.00	Facility		$1,450.00	$5,819.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $640.23 / $821.66 / $1,054.45	Professional		$640.23	$821.66	$1,054.45