Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.97 / $2,877.00 / $4,933.00	Facility		$489.97	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.79 / $489.97 / $508.12	Professional		$354.79	$489.97	$508.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,771.04 / $2,064.19 / $2,796.67	Facility		$1,771.04	$2,064.19	$2,796.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.15 / $559.73 / $881.57	Professional		$95.15	$559.73	$881.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.89 / $392.93 / $685.81	Professional		$291.89	$392.93	$685.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $360.41 / $2,877.00 / $4,933.00	Facility		$360.41	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $360.41 / $414.34 / $610.61	Professional		$360.41	$414.34	$610.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.69 / $287.07 / $423.88	Professional		$64.69	$287.07	$423.88
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,566.00 / $6,740.00	Facility		$850.00	$4,566.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $361.63 / $440.44 / $575.38	Professional		$361.63	$440.44	$575.38