Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.97 / $2,056.00 / $4,933.00	Facility		$157.97	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.26 / $157.97 / $157.97	Professional		$122.26	$157.97	$157.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,307.00 / $1,525.67 / $2,078.38	Facility		$1,307.00	$1,525.67	$2,078.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $157.57 / $311.58	Professional		$33.33	$157.57	$311.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.92 / $167.38 / $297.41	Professional		$115.92	$167.38	$297.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $134.94 / $2,056.00 / $4,933.00	Facility		$134.94	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $141.24 / $215.18	Professional		$134.94	$141.24	$215.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $102.86 / $147.35	Professional		$82.26	$102.86	$147.35
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,504.00	Facility		$773.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.11 / $176.55 / $222.04	Professional		$144.11	$176.55	$222.04