Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.14 / $4,933.00 / $4,933.00	Facility		$245.14	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.31 / $200.63 / $283.98	Professional		$163.31	$200.63	$283.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $907.83 / $1,065.52 / $1,443.61	Facility		$907.83	$1,065.52	$1,443.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.63 / $190.66 / $335.41	Professional		$42.63	$190.66	$335.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.22 / $229.83 / $413.23	Professional		$141.22	$229.83	$413.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $208.15 / $245.14 / $4,933.00	Facility		$208.15	$245.14	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $183.93 / $212.34 / $320.52	Professional		$183.93	$212.34	$320.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.87 / $207.69 / $296.69	Professional		$162.87	$207.69	$296.69
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,327.00	Facility		$850.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.08 / $238.61 / $322.70	Professional		$197.08	$238.61	$322.70