Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.48 / $4,933.00 / $4,933.00	Facility		$873.48	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $674.49 / $873.48 / $873.48	Professional		$674.49	$873.48	$873.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,205.59 / $2,574.58 / $3,507.29	Facility		$2,205.59	$2,574.58	$3,507.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.24 / $1,391.61 / $1,719.87	Professional		$175.24	$1,391.61	$1,719.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.05 / $779.44 / $1,405.99	Professional		$638.05	$779.44	$1,405.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $727.64 / $4,933.00 / $4,933.00	Facility		$727.64	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $727.64 / $776.98 / $1,116.22	Professional		$727.64	$776.98	$1,116.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $583.53 / $863.60	Professional		$65.66	$583.53	$863.60
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 $751.82 / $905.40 / $1,187.66	Professional		$751.82	$905.40	$1,187.66