Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.67 / $4,112.00 / $4,933.00	Facility		$246.67	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.74 / $222.07 / $257.02	Professional		$174.74	$222.07	$257.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,036.17 / $4,488.99 / $6,197.49	Facility		$3,036.17	$4,488.99	$6,197.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.02 / $192.91 / $356.16	Professional		$58.02	$192.91	$356.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.84 / $237.89 / $464.36	Professional		$180.84	$237.89	$464.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $195.07 / $4,112.00 / $4,933.00	Facility		$195.07	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $192.43 / $214.57 / $320.61	Professional		$192.43	$214.57	$320.61
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 $194.88 / $246.74 / $323.70	Professional		$194.88	$246.74	$323.70