Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.80 / $2,056.00 / $4,933.00	Facility		$204.80	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.90 / $700.95 / $934.90	Professional		$164.90	$700.95	$934.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $988.73 / $1,154.15 / $1,572.27	Facility		$988.73	$1,154.15	$1,572.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.97 / $158.16 / $379.62	Professional		$40.97	$158.16	$379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $512.19 / $1,218.31	Professional		$164.32	$512.19	$1,218.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $771.04 / $2,056.00 / $4,933.00	Facility		$771.04	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $204.80 / $771.04 / $1,026.14	Professional		$204.80	$771.04	$1,026.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $570.70 / $713.37 / $1,022.61	Professional		$570.70	$713.37	$1,022.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,819.00 / $8,339.00	Facility		$2,524.00	$5,819.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $799.94 / $963.99 / $1,243.08	Professional		$799.94	$963.99	$1,243.08