Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.50 / $2,056.00 / $7,055.76	Facility		$210.50	$2,056.00	$7,055.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.52 / $212.15 / $294.38	Professional		$154.52	$212.15	$294.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.82 / $288.04 / $397.66	Facility		$194.82	$288.04	$397.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $173.79 / $393.74	Professional		$42.50	$173.79	$393.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.50 / $240.81 / $478.49	Professional		$159.50	$240.81	$478.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $232.56 / $2,056.00 / $4,933.00	Facility		$232.56	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $179.64 / $237.29 / $338.55	Professional		$179.64	$237.29	$338.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.31 / $203.09 / $291.99	Professional		$163.31	$203.09	$291.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,640.00 / $6,029.00	Facility		$1,050.00	$3,640.00	$6,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.25 / $298.56 / $387.86	Professional		$229.25	$298.56	$387.86