Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.21 / $2,877.00 / $4,933.00	Facility		$616.21	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.05 / $616.21 / $616.21	Professional		$454.05	$616.21	$616.21
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 $124.45 / $475.82 / $814.24	Professional		$124.45	$475.82	$814.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.10 / $559.58 / $993.30	Professional		$452.10	$559.58	$993.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $491.64 / $2,877.00 / $4,933.00	Facility		$491.64	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $491.64 / $550.59 / $795.21	Professional		$491.64	$550.59	$795.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $443.53 / $650.15	Professional		$37.27	$443.53	$650.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $6,978.00 / $9,202.00	Facility		$3,296.00	$6,978.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $530.51 / $653.71 / $972.00	Professional		$530.51	$653.71	$972.00