Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.46 / $2,877.00 / $4,933.00	Facility		$593.46	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.06 / $536.19 / $593.46	Professional		$413.06	$536.19	$593.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,993.07 / $2,946.76 / $4,068.29	Facility		$1,993.07	$2,946.76	$4,068.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.25 / $452.61 / $772.46	Professional		$117.25	$452.61	$772.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.91 / $579.77 / $1,090.83	Professional		$440.91	$579.77	$1,090.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $467.80 / $2,877.00 / $4,933.00	Facility		$467.80	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $461.61 / $514.58 / $739.11	Professional		$461.61	$514.58	$739.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.21 / $432.79 / $634.58	Professional		$49.21	$432.79	$634.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $8,911.00	Facility		$2,500.00	$7,780.00	$8,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.80 / $609.44 / $774.88	Professional		$480.80	$609.44	$774.88