Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.50 / $4,920.22 / $4,933.00	Facility		$606.50	$4,920.22	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $598.61 / $606.50	Professional		$156.00	$598.61	$606.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.37 / $253.21 / $584.51	Facility		$185.37	$253.21	$584.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.34 / $600.02 / $823.43	Professional		$455.34	$600.02	$823.43
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $4,920.22 / $4,933.00	Facility		$51.74	$4,920.22	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $51.74 / $77.00 / $727.79	Professional		$51.74	$77.00	$727.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00