Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.61 / $4,933.00 / $4,933.00	Facility		$592.61	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.82 / $592.61 / $2,311.62	Professional		$448.82	$592.61	$2,311.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,921.09 / $2,840.34 / $3,807.40	Facility		$1,921.09	$2,840.34	$3,807.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.37 / $503.32 / $929.20	Professional		$139.37	$503.32	$929.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.44 / $604.94 / $1,705.16	Professional		$383.44	$604.94	$1,705.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $533.01 / $4,933.00 / $4,933.00	Facility		$533.01	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $525.34 / $551.60 / $838.34	Professional		$525.34	$551.60	$838.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $100.00 / $311.74	Professional		$75.00	$100.00	$311.74
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 $487.70 / $659.03 / $830.08	Professional		$487.70	$659.03	$830.08