Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.29 / $1,220.90 / $4,933.00	Facility		$167.29	$1,220.90	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.75 / $127.46 / $206.98	Professional		$84.75	$127.46	$206.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.11 / $1,192.47 / $1,615.61	Facility		$1,023.11	$1,192.47	$1,615.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $90.10 / $163.86	Professional		$22.03	$90.10	$163.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.65 / $138.46 / $230.49	Professional		$99.65	$138.46	$230.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $127.46 / $1,220.90 / $4,933.00	Facility		$127.46	$1,220.90	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $104.15 / $137.38 / $235.36	Professional		$104.15	$137.38	$235.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $136.45 / $195.19	Professional		$108.90	$136.45	$195.19
United Facility/Professional Facility Modifier Low / Median / High Price $682.52 / $2,704.00 / $4,504.00	Facility		$682.52	$2,704.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.36 / $135.78 / $218.57	Professional		$113.36	$135.78	$218.57