Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.48 / $928.36 / $4,933.00	Facility		$638.48	$928.36	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $462.56 / $662.13 / $928.36	Professional		$462.56	$662.13	$928.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $787.54 / $917.91 / $1,243.61	Facility		$787.54	$917.91	$1,243.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.19 / $730.53 / $1,150.58	Professional		$124.19	$730.53	$1,150.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.57 / $607.23 / $894.50	Professional		$398.57	$607.23	$894.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $688.32 / $2,877.00 / $4,933.00	Facility		$688.32	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $622.42 / $688.32 / $956.65	Professional		$622.42	$688.32	$956.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.99 / $451.97 / $760.84	Professional		$67.99	$451.97	$760.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,569.00 / $6,740.00	Facility		$1,050.00	$3,569.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $664.61 / $810.87 / $1,117.41	Professional		$664.61	$810.87	$1,117.41