Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.33 / $406.69 / $4,933.00	Facility		$204.33	$406.69	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.07 / $225.66 / $387.33	Professional		$143.07	$225.66	$387.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,714.20 / $2,534.44 / $3,499.05	Facility		$1,714.20	$2,534.44	$3,499.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $235.59 / $309.99	Professional		$42.16	$235.59	$309.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.63 / $260.47 / $584.32	Professional		$160.63	$260.47	$584.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $259.10 / $2,877.00 / $4,933.00	Facility		$259.10	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $159.69 / $259.10 / $402.61	Professional		$159.69	$259.10	$402.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $229.93 / $365.80	Professional		$30.56	$229.93	$365.80
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 $268.08 / $347.43 / $468.36	Professional		$268.08	$347.43	$468.36