Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.56 / $338.98 / $4,933.00	Facility		$238.56	$338.98	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.27 / $238.56 / $322.83	Professional		$179.27	$238.56	$322.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $555.38 / $762.80	Facility		$467.74	$555.38	$762.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $234.18 / $326.43	Professional		$50.19	$234.18	$326.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.79 / $260.56 / $526.73	Professional		$184.79	$260.56	$526.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $250.15 / $2,056.00 / $4,933.00	Facility		$250.15	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $228.93 / $250.15 / $385.04	Professional		$228.93	$250.15	$385.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $176.18 / $240.61 / $348.68	Professional		$176.18	$240.61	$348.68
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 $245.82 / $319.64 / $407.38	Professional		$245.82	$319.64	$407.38