Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.83 / $2,056.00 / $4,933.00	Facility		$81.83	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.18 / $87.79 / $117.45	Professional		$65.18	$87.79	$117.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.59 / $74.64 / $101.12	Facility		$63.59	$74.64	$101.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $59.45 / $114.14	Professional		$16.82	$59.45	$114.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $85.78 / $139.74	Professional		$62.87	$85.78	$139.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $83.92 / $2,056.00 / $4,933.00	Facility		$83.92	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $81.83 / $90.27 / $156.13	Professional		$81.83	$90.27	$156.13
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 $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.04 / $115.10 / $144.44	Professional		$94.04	$115.10	$144.44