Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.36 / $391.12 / $4,933.00	Facility		$221.36	$391.12	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.62 / $238.48 / $399.09	Professional		$155.62	$238.48	$399.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,101.17 / $3,106.59 / $4,164.29	Facility		$2,101.17	$3,106.59	$4,164.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.79 / $189.34 / $316.13	Professional		$44.79	$189.34	$316.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.59 / $302.37 / $606.38	Professional		$179.59	$302.37	$606.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $225.34 / $1,379.07 / $4,933.00	Facility		$225.34	$1,379.07	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $184.38 / $278.91 / $459.45	Professional		$184.38	$278.91	$459.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $246.95 / $374.65	Professional		$31.89	$246.95	$374.65
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 $283.13 / $360.86 / $486.78	Professional		$283.13	$360.86	$486.78