Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.58 / $2,056.00 / $4,933.00	Facility		$152.58	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.31 / $189.38 / $252.11	Professional		$120.31	$189.38	$252.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,219.89 / $1,423.97 / $1,939.84	Facility		$1,219.89	$1,423.97	$1,939.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $154.19 / $237.59	Professional		$31.07	$154.19	$237.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.26 / $202.11 / $320.80	Professional		$112.26	$202.11	$320.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $198.47 / $2,056.00 / $4,933.00	Facility		$198.47	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $152.58 / $198.47 / $306.58	Professional		$152.58	$198.47	$306.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.59 / $204.94 / $292.83	Professional		$163.59	$204.94	$292.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,857.00 / $6,327.00	Facility		$1,527.00	$4,857.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.63 / $256.87 / $318.33	Professional		$204.63	$256.87	$318.33