Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.88 / $2,056.00 / $4,933.00	Facility		$157.88	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.80 / $141.35 / $157.88	Professional		$112.80	$141.35	$157.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $940.39 / $1,128.52 / $1,810.48	Facility		$940.39	$1,128.52	$1,810.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.89 / $1,385.00 / $2,285.25	Professional		$261.89	$1,385.00	$2,285.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.61 / $144.69 / $301.62	Professional		$111.61	$144.69	$301.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $131.13 / $2,056.00 / $4,933.00	Facility		$131.13	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $123.55 / $134.12 / $436.00	Professional		$123.55	$134.12	$436.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $4,857.00 / $6,036.00	Facility		$1,050.00	$4,857.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.67 / $166.70 / $208.36	Professional		$126.67	$166.70	$208.36