Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.96 / $4,933.00 / $4,933.00	Facility		$755.96	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.87 / $755.96 / $755.96	Professional		$556.87	$755.96	$755.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,451.73 / $2,861.92 / $3,898.73	Facility		$2,451.73	$2,861.92	$3,898.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.38 / $531.91 / $1,075.04	Professional		$158.38	$531.91	$1,075.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.50 / $682.78 / $1,218.66	Professional		$553.50	$682.78	$1,218.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $597.85 / $4,933.00 / $4,933.00	Facility		$597.85	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $597.85 / $674.12 / $972.06	Professional		$597.85	$674.12	$972.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $504.35 / $760.43	Professional		$65.66	$504.35	$760.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $5,202.00 / $7,355.00	Facility		$2,248.00	$5,202.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $650.64 / $782.41 / $1,010.67	Professional		$650.64	$782.41	$1,010.67