Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.63 / $2,877.00 / $4,933.00	Facility		$269.63	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.58 / $240.49 / $337.82	Professional		$202.58	$240.49	$337.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,933.62 / $2,253.69 / $3,053.41	Facility		$1,933.62	$2,253.69	$3,053.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.53 / $345.12 / $538.39	Professional		$64.53	$345.12	$538.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.69 / $291.29 / $434.29	Professional		$197.69	$291.29	$434.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $217.27 / $2,877.00 / $4,933.00	Facility		$217.27	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $217.27 / $242.74 / $374.30	Professional		$217.27	$242.74	$374.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.70 / $189.03 / $281.13	Professional		$149.70	$189.03	$281.13
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 $235.73 / $292.32 / $364.25	Professional		$235.73	$292.32	$364.25