Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.36 / $2,056.00 / $4,933.00	Facility		$139.36	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.18 / $139.36 / $144.72	Professional		$95.18	$139.36	$144.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.21 / $545.38 / $742.96	Facility		$467.21	$545.38	$742.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $97.57 / $172.56	Professional		$27.94	$97.57	$172.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.54 / $135.26 / $207.74	Professional		$95.54	$135.26	$207.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $125.96 / $2,056.00 / $4,933.00	Facility		$125.96	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $123.84 / $126.60 / $169.96	Professional		$123.84	$126.60	$169.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $103.34 / $155.34	Professional		$78.41	$103.34	$155.34
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,504.00	Facility		$773.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.24 / $137.53 / $185.00	Professional		$111.24	$137.53	$185.00