Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.79 / $2,877.00 / $4,933.00	Facility		$233.79	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.67 / $238.20 / $395.92	Professional		$174.67	$238.20	$395.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.93 / $363.61 / $487.41	Facility		$245.93	$363.61	$487.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $164.69 / $313.44	Professional		$47.15	$164.69	$313.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.93 / $280.42 / $621.09	Professional		$180.93	$280.42	$621.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $276.89 / $2,877.00 / $4,933.00	Facility		$276.89	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $233.79 / $292.80 / $462.89	Professional		$233.79	$292.80	$462.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $248.20 / $378.10	Professional		$32.13	$248.20	$378.10
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,438.00 / $1,844.00	Facility		$300.00	$1,438.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $249.66 / $353.34 / $502.24	Professional		$249.66	$353.34	$502.24