Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.70 / $2,877.00 / $4,933.00	Facility		$177.70	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.68 / $180.35 / $248.33	Professional		$151.68	$180.35	$248.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,920.16 / $2,241.40 / $3,053.41	Facility		$1,920.16	$2,241.40	$3,053.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $139.55 / $236.52	Professional		$40.39	$139.55	$236.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.46 / $204.85 / $316.60	Professional		$138.46	$204.85	$316.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $187.74 / $2,877.00 / $4,933.00	Facility		$187.74	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $177.70 / $193.02 / $308.57	Professional		$177.70	$193.02	$308.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $170.59 / $244.30	Professional		$137.22	$170.59	$244.30
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 $211.01 / $254.44 / $320.48	Professional		$211.01	$254.44	$320.48