Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.74 / $2,056.00 / $4,933.00	Facility		$178.74	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.46 / $226.95 / $403.17	Professional		$128.46	$226.95	$403.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,243.98 / $1,460.06 / $1,978.15	Facility		$1,243.98	$1,460.06	$1,978.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.31 / $222.75 / $353.95	Professional		$40.31	$222.75	$353.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.67 / $254.74 / $541.66	Professional		$125.67	$254.74	$541.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $291.37 / $2,056.00 / $4,933.00	Facility		$291.37	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $185.62 / $291.37 / $473.50	Professional		$185.62	$291.37	$473.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.06 / $247.12 / $373.58	Professional		$32.06	$247.12	$373.58
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $287.64 / $350.45 / $471.39	Professional		$287.64	$350.45	$471.39