Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.05 / $4,112.00 / $4,933.00	Facility		$221.05	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.82 / $175.81 / $229.55	Professional		$149.82	$175.81	$229.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $774.42 / $908.94 / $1,231.47	Facility		$774.42	$908.94	$1,231.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.68 / $256.95 / $571.63	Professional		$43.68	$256.95	$571.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.33 / $208.85 / $390.72	Professional		$125.33	$208.85	$390.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $172.27 / $4,112.00 / $4,933.00	Facility		$172.27	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $167.71 / $189.49 / $287.62	Professional		$167.71	$189.49	$287.62
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 $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 $167.79 / $211.79 / $275.14	Professional		$167.79	$211.79	$275.14