Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $898.36 / $2,056.00 / $4,933.00	Facility		$898.36	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.25 / $100.25 / $4,462.14	Professional		$100.25	$100.25	$4,462.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $847.49 / $987.78 / $1,338.29	Facility		$847.49	$987.78	$1,338.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,069.75 / $3,069.75 / $3,069.75	Professional		$3,069.75	$3,069.75	$3,069.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,646.99 / $2,646.99 / $2,646.99	Professional		$2,646.99	$2,646.99	$2,646.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $103.49 / $2,056.00 / $4,933.00	Facility		$103.49	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $103.49 / $103.49 / $187.00	Professional		$103.49	$103.49	$187.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
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