Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.64 / $2,056.00 / $4,933.00	Facility		$118.64	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.97 / $166.37 / $475.32	Professional		$94.97	$166.37	$475.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $75.95 / $104.31	Facility		$51.10	$75.95	$104.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.74 / $132.93 / $167.92	Professional		$24.74	$132.93	$167.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.15 / $160.37 / $320.50	Professional		$97.15	$160.37	$320.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $120.77 / $2,056.00 / $4,933.00	Facility		$120.77	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $118.64 / $144.74 / $251.77	Professional		$118.64	$144.74	$251.77
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 $300.00 / $1,438.00 / $1,844.00	Facility		$300.00	$1,438.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.97 / $183.46 / $265.08	Professional		$147.97	$183.46	$265.08