Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.70 / $2,056.00 / $4,933.00	Facility		$108.70	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $164.43 / $363.14	Professional		$80.53	$164.43	$363.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $780.56 / $1,154.05 / $1,593.28	Facility		$780.56	$1,154.05	$1,593.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $88.63 / $136.41	Professional		$21.67	$88.63	$136.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.94 / $188.02 / $503.66	Professional		$85.94	$188.02	$503.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $229.59 / $2,056.00 / $4,933.00	Facility		$229.59	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $108.70 / $256.05 / $391.52	Professional		$108.70	$256.05	$391.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $215.91 / $269.70 / $389.04	Professional		$215.91	$269.70	$389.04
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 $241.02 / $302.56 / $433.91	Professional		$241.02	$302.56	$433.91