Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.11 / $2,612.21 / $4,933.00	Facility		$481.11	$2,612.21	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.51 / $1,535.23 / $2,081.13	Professional		$386.51	$1,535.23	$2,081.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,750.52 / $2,380.33 / $5,589.90	Facility		$1,750.52	$2,380.33	$5,589.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.87 / $341.81 / $662.02	Professional		$97.87	$341.81	$662.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.50 / $1,137.96 / $2,839.31	Professional		$391.50	$1,137.96	$2,839.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $606.19 / $2,877.00 / $4,933.00	Facility		$606.19	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $481.11 / $1,800.01 / $2,434.41	Professional		$481.11	$1,800.01	$2,434.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.15 / $1,242.97 / $1,969.31	Professional		$102.15	$1,242.97	$1,969.31
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 $1,939.42 / $2,312.46 / $2,918.48	Professional		$1,939.42	$2,312.46	$2,918.48