Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.40 / $4,933.00 / $4,933.00	Facility		$784.40	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.13 / $653.53 / $784.40	Professional		$535.13	$653.53	$784.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $827.24 / $969.35 / $1,338.29	Facility		$827.24	$969.35	$1,338.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.94 / $617.42 / $1,024.82	Professional		$156.94	$617.42	$1,024.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.37 / $744.68 / $1,455.90	Professional		$522.37	$744.68	$1,455.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $613.42 / $4,933.00 / $4,933.00	Facility		$613.42	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $610.53 / $669.44 / $949.57	Professional		$610.53	$669.44	$949.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $528.92 / $798.59	Professional		$65.50	$528.92	$798.59
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 $610.91 / $774.13 / $1,001.06	Professional		$610.91	$774.13	$1,001.06