Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.09 / $2,877.00 / $4,933.00	Facility		$498.09	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.26 / $498.09 / $498.09	Professional		$367.26	$498.09	$498.09
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 $111.96 / $562.50 / $680.92	Professional		$111.96	$562.50	$680.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.06 / $557.14 / $767.90	Professional		$365.06	$557.14	$767.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $396.32 / $2,877.00 / $4,933.00	Facility		$396.32	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $396.32 / $444.85 / $642.63	Professional		$396.32	$444.85	$642.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.49 / $378.12 / $556.35	Professional		$49.49	$378.12	$556.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,574.00 / $8,339.00	Facility		$2,524.00	$5,574.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.21 / $515.07 / $691.00	Professional		$434.21	$515.07	$691.00