Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.88 / $2,877.00 / $4,933.00	Facility		$172.88	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $180.08 / $249.93	Professional		$125.82	$180.08	$249.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,138.48 / $2,496.26 / $3,400.59	Facility		$2,138.48	$2,496.26	$3,400.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $209.57 / $245.38	Professional		$37.50	$209.57	$245.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.57 / $188.70 / $308.00	Professional		$136.57	$188.70	$308.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $148.71 / $2,877.00 / $4,933.00	Facility		$148.71	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $148.71 / $186.88 / $264.88	Professional		$148.71	$186.88	$264.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.69 / $188.13 / $278.36	Professional		$148.69	$188.13	$278.36
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 $159.88 / $192.90 / $296.55	Professional		$159.88	$192.90	$296.55