Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.68 / $2,877.00 / $4,933.00	Facility		$161.68	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.41 / $224.40 / $377.62	Professional		$114.41	$224.40	$377.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,026.08 / $1,407.69 / $2,179.54	Facility		$1,026.08	$1,407.69	$2,179.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $180.76 / $244.03	Professional		$31.96	$180.76	$244.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.15 / $207.15 / $207.15	Facility		$207.15	$207.15	$207.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.08 / $264.95 / $580.41	Professional		$128.08	$264.95	$580.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $169.76 / $2,877.00 / $4,933.00	Facility		$169.76	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $161.68 / $252.61 / $450.22	Professional		$161.68	$252.61	$450.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $215.09 / $263.68 / $372.75	Professional		$215.09	$263.68	$372.75
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 $268.99 / $328.67 / $451.53	Professional		$268.99	$328.67	$451.53