Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.88 / $4,933.00 / $4,933.00	Facility		$733.88	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.76 / $617.92 / $733.88	Professional		$461.76	$617.92	$733.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,828.95 / $2,704.10 / $3,733.28	Facility		$1,828.95	$2,704.10	$3,733.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.07 / $734.89 / $968.78	Professional		$148.07	$734.89	$968.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.88 / $668.30 / $1,277.30	Professional		$481.88	$668.30	$1,277.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $499.64 / $4,933.00 / $4,933.00	Facility		$499.64	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $499.64 / $606.89 / $860.15	Professional		$499.64	$606.89	$860.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $504.38 / $758.02	Professional		$65.50	$504.38	$758.02
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,036.00	Facility		$850.00	$4,645.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $549.96 / $685.02 / $920.86	Professional		$549.96	$685.02	$920.86