Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.43 / $2,740.00 / $6,906.00	Facility		$257.43	$2,740.00	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.43 / $524.70 / $963.36	Professional		$179.43	$524.70	$963.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,616.51 / $4,215.17 / $5,710.88	Facility		$3,616.51	$4,215.17	$5,710.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $252.53 / $344.17	Professional		$50.88	$252.53	$344.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.38 / $376.48 / $1,223.09	Professional		$183.38	$376.48	$1,223.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $324.36 / $2,740.00 / $6,727.24	Facility		$324.36	$2,740.00	$6,727.24
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $257.43 / $660.74 / $1,213.83	Professional		$257.43	$660.74	$1,213.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $625.20 / $780.79 / $1,125.90	Professional		$625.20	$780.79	$1,125.90
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 $749.80 / $988.90 / $1,546.28	Professional		$749.80	$988.90	$1,546.28