Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.71 / $2,056.00 / $4,933.00	Facility		$228.71	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.33 / $184.67 / $237.51	Professional		$155.33	$184.67	$237.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.41 / $1,021.60 / $1,384.11	Facility		$870.41	$1,021.60	$1,384.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $165.90 / $286.66	Professional		$46.92	$165.90	$286.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.43 / $218.54 / $406.00	Professional		$132.43	$218.54	$406.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $193.80 / $2,056.00 / $4,933.00	Facility		$193.80	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $167.88 / $193.80 / $278.94	Professional		$167.88	$193.80	$278.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.95 / $170.14 / $243.19	Professional		$136.95	$170.14	$243.19
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 $187.91 / $225.57 / $300.12	Professional		$187.91	$225.57	$300.12