Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $464.00 / $4,933.00	Facility		$74.45	$464.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $74.45 / $94.12	Professional		$55.92	$74.45	$94.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.39 / $107.03 / $147.76	Facility		$72.39	$107.03	$147.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $93.74 / $141.96	Professional		$17.05	$93.74	$141.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.47 / $84.02 / $158.69	Professional		$54.47	$84.02	$158.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $85.31 / $962.00 / $4,933.00	Facility		$85.31	$962.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $68.91 / $85.31 / $120.90	Professional		$68.91	$85.31	$120.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $67.99 / $97.74	Professional		$54.68	$67.99	$97.74
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 $81.00 / $102.95 / $134.82	Professional		$81.00	$102.95	$134.82