Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.05 / $2,056.00 / $4,933.00	Facility		$473.05	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.61 / $818.86 / $1,483.71	Professional		$367.61	$818.86	$1,483.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $353.56 / $565.70 / $565.70	Facility		$353.56	$565.70	$565.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.83 / $452.56 / $678.84	Professional		$101.83	$452.56	$678.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.46 / $820.25 / $3,404.45	Professional		$391.46	$820.25	$3,404.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,132.42 / $3,260.53 / $4,933.00	Facility		$1,132.42	$3,260.53	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $473.05 / $1,208.77 / $3,749.60	Professional		$473.05	$1,208.77	$3,749.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $744.74 / $940.57 / $1,350.04	Professional		$744.74	$940.57	$1,350.04
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 $978.75 / $1,566.00 / $4,640.95	Professional		$978.75	$1,566.00	$4,640.95