Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.87 / $4,857.78 / $4,933.00	Facility		$251.87	$4,857.78	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.93 / $221.13 / $334.12	Professional		$162.93	$221.13	$334.12
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 $53.62 / $199.02 / $336.63	Professional		$53.62	$199.02	$336.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.14 / $244.98 / $454.06	Professional		$176.14	$244.98	$454.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $197.35 / $3,688.37 / $4,933.00	Facility		$197.35	$3,688.37	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $190.84 / $224.82 / $348.73	Professional		$190.84	$224.82	$348.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.48 / $170.11 / $243.73	Professional		$136.48	$170.11	$243.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,819.00 / $7,355.00	Facility		$1,450.00	$5,819.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.85 / $250.37 / $373.18	Professional		$198.85	$250.37	$373.18