Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.70 / $336.26 / $4,933.00	Facility		$92.70	$336.26	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $171.85 / $277.38	Professional		$74.58	$171.85	$277.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $751.65 / $1,111.32 / $1,534.28	Facility		$751.65	$1,111.32	$1,534.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $74.29 / $145.88	Professional		$18.37	$74.29	$145.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.92 / $204.65 / $408.57	Professional		$77.92	$204.65	$408.57
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $116.80 / $2,056.00 / $4,933.00	Facility		$116.80	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $259.86 / $336.58	Professional		$92.70	$259.86	$336.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.82 / $202.06 / $291.43	Professional		$162.82	$202.06	$291.43
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 $209.05 / $291.64 / $388.87	Professional		$209.05	$291.64	$388.87