Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.46 / $4,933.00 / $4,933.00	Facility		$546.46	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.81 / $484.28 / $546.46	Professional		$417.81	$484.28	$546.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,402.13 / $3,971.31 / $5,410.02	Facility		$3,402.13	$3,971.31	$5,410.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.72 / $616.42 / $1,021.98	Professional		$114.72	$616.42	$1,021.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.82 / $495.35 / $880.91	Professional		$400.82	$495.35	$880.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $433.58 / $4,933.00 / $4,933.00	Facility		$433.58	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $433.58 / $487.36 / $721.32	Professional		$433.58	$487.36	$721.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $392.83 / $590.61	Professional		$37.27	$392.83	$590.61
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,849.00 / $9,202.00	Facility		$3,296.00	$7,849.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $464.43 / $568.85 / $713.74	Professional		$464.43	$568.85	$713.74