Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.56 / $1,250.58 / $4,933.00	Facility		$128.56	$1,250.58	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.70 / $129.46 / $189.56	Professional		$96.70	$129.46	$189.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,936.26 / $2,260.19 / $3,079.02	Facility		$1,936.26	$2,260.19	$3,079.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $106.28 / $170.05	Professional		$27.03	$106.28	$170.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.44 / $153.60 / $235.83	Professional		$103.44	$153.60	$235.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $130.87 / $2,056.00 / $4,933.00	Facility		$130.87	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $101.34 / $135.58 / $249.15	Professional		$101.34	$135.58	$249.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $170.59 / $244.30	Professional		$137.22	$170.59	$244.30
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 $154.51 / $186.76 / $242.34	Professional		$154.51	$186.76	$242.34