Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.20 / $804.87 / $4,933.00	Facility		$122.20	$804.87	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.28 / $161.13 / $265.17	Professional		$76.28	$161.13	$265.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.70 / $645.17 / $874.12	Facility		$549.70	$645.17	$874.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.69 / $83.09 / $160.91	Professional		$25.69	$83.09	$160.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.45 / $151.04 / $278.67	Professional		$83.45	$151.04	$278.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $201.09 / $2,056.00 / $4,933.00	Facility		$201.09	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $117.68 / $201.09 / $309.94	Professional		$117.68	$201.09	$309.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $187.43 / $240.63 / $344.45	Professional		$187.43	$240.63	$344.45
United Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $2,580.00 / $4,504.00	Facility		$649.00	$2,580.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.63 / $225.88 / $320.27	Professional		$190.63	$225.88	$320.27