Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.44 / $1,662.01 / $4,933.00	Facility		$105.44	$1,662.01	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $105.44 / $158.26	Professional		$74.92	$105.44	$158.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,554.24 / $1,824.23 / $2,471.54	Facility		$1,554.24	$1,824.23	$2,471.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $32.81 / $139.72	Professional		$20.05	$32.81	$139.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.23 / $115.37 / $217.13	Professional		$73.23	$115.37	$217.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $105.44 / $1,662.01 / $4,933.00	Facility		$105.44	$1,662.01	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $92.08 / $114.97 / $169.18	Professional		$92.08	$114.97	$169.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $102.07 / $144.21	Professional		$81.79	$102.07	$144.21
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.81 / $142.78 / $186.57	Professional		$108.81	$142.78	$186.57