Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.68 / $2,492.57 / $5,741.97	Facility		$177.68	$2,492.57	$5,741.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.97 / $373.13 / $491.23	Professional		$142.97	$373.13	$491.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,202.46 / $3,732.58 / $5,057.05	Facility		$3,202.46	$3,732.58	$5,057.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $176.89 / $233.19	Professional		$39.83	$176.89	$233.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.90 / $286.77 / $596.08	Professional		$136.90	$286.77	$596.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $180.87 / $2,877.00 / $5,978.70	Facility		$180.87	$2,877.00	$5,978.70
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $177.68 / $386.18 / $561.40	Professional		$177.68	$386.18	$561.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $299.60 / $375.09 / $536.29	Professional		$299.60	$375.09	$536.29
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 $401.93 / $556.11 / $966.28	Professional		$401.93	$556.11	$966.28