Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.23 / $762.23 / $6,906.00	Facility		$246.23	$762.23	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.52 / $406.32 / $604.95	Professional		$172.52	$406.32	$604.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $293.81 / $293.81 / $293.81	Facility		$293.81	$293.81	$293.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.12 / $308.50 / $396.64	Professional		$279.12	$308.50	$396.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.80 / $427.13 / $998.01	Professional		$193.80	$427.13	$998.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $322.19 / $762.23 / $6,906.00	Facility		$322.19	$762.23	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $246.23 / $494.06 / $620.94	Professional		$246.23	$494.06	$620.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.61 / $366.05 / $501.12	Professional		$31.61	$366.05	$501.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,806.00 / $8,884.00	Facility		$2,524.00	$5,806.00	$8,884.00
United Facility/Professional Professional Modifier Low / Median / High Price $382.90 / $604.11 / $803.01	Professional		$382.90	$604.11	$803.01