Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.87 / $2,056.00 / $4,933.00	Facility		$52.87	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.74 / $64.65 / $94.21	Professional		$41.74	$64.65	$94.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.61 / $87.09 / $118.64	Facility		$74.61	$87.09	$118.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $46.32 / $68.68	Professional		$10.50	$46.32	$68.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $69.70 / $117.69	Professional		$42.55	$69.70	$117.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $71.14 / $2,056.00 / $4,933.00	Facility		$71.14	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $52.86 / $72.79 / $114.26	Professional		$52.86	$72.79	$114.26
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 / $1,247.00 / $1,844.00	Facility		$464.00	$1,247.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $98.10 / $121.93	Professional		$79.06	$98.10	$121.93