Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.67 / $2,056.00 / $4,933.00	Facility		$64.67	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $103.99 / $190.69	Professional		$50.88	$103.99	$190.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.13 / $170.59 / $232.40	Facility		$146.13	$170.59	$232.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $47.31 / $87.05	Professional		$12.87	$47.31	$87.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.27 / $106.15 / $215.34	Professional		$52.27	$106.15	$215.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $126.07 / $2,056.00 / $4,933.00	Facility		$126.07	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $136.11 / $199.95	Professional		$64.67	$136.11	$199.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $136.45 / $195.19	Professional		$108.90	$136.45	$195.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,857.00 / $6,327.00	Facility		$1,527.00	$4,857.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.10 / $175.59 / $242.25	Professional		$142.10	$175.59	$242.25