Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.52 / $2,056.00 / $6,906.00	Facility		$86.52	$2,056.00	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.70 / $86.52 / $86.52	Professional		$63.70	$86.52	$86.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,360.22 / $1,585.38 / $2,147.94	Facility		$1,360.22	$1,585.38	$2,147.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $67.33 / $134.65	Professional		$18.48	$67.33	$134.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.41 / $93.75 / $195.59	Professional		$63.41	$93.75	$195.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $67.53 / $2,056.00 / $4,933.00	Facility		$67.53	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $67.53 / $77.65 / $119.86	Professional		$67.53	$77.65	$119.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $68.34 / $97.88	Professional		$54.90	$68.34	$97.88
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 $76.30 / $89.66 / $120.27	Professional		$76.30	$89.66	$120.27