Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.07 / $4,933.00 / $10,072.58	Facility		$328.07	$4,933.00	$10,072.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.02 / $280.11 / $328.07	Professional		$257.02	$280.11	$328.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,490.25 / $4,074.17 / $5,550.14	Facility		$3,490.25	$4,074.17	$5,550.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $381.95 / $744.80	Professional		$72.23	$381.95	$744.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.94 / $302.70 / $534.01	Professional		$237.94	$302.70	$534.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $268.29 / $4,933.00 / $10,072.58	Facility		$268.29	$4,933.00	$10,072.58
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $262.39 / $282.02 / $431.60	Professional		$262.39	$282.02	$431.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $219.81 / $276.78 / $397.33	Professional		$219.81	$276.78	$397.33
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.72 / $8,702.00 / $12,867.00	Facility		$3,705.72	$8,702.00	$12,867.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.39 / $365.39 / $1,110.63	Professional		$300.39	$365.39	$1,110.63