Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.56 / $2,056.00 / $5,556.90	Facility		$147.56	$2,056.00	$5,556.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $149.01 / $211.17	Professional		$109.60	$149.01	$211.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.13 / $204.24 / $273.77	Facility		$138.13	$204.24	$273.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.51 / $116.99 / $198.30	Professional		$31.51	$116.99	$198.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.09 / $170.66 / $324.35	Professional		$115.09	$170.66	$324.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $150.21 / $2,056.00 / $4,933.00	Facility		$150.21	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $121.85 / $163.11 / $250.65	Professional		$121.85	$163.11	$250.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.09 / $119.79 / $174.27	Professional		$88.09	$119.79	$174.27
United Facility/Professional Facility Modifier Low / Median / High Price $416.00 / $2,580.00 / $4,504.00	Facility		$416.00	$2,580.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.04 / $202.92 / $261.39	Professional		$162.04	$202.92	$261.39