Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.61 / $464.00 / $4,933.00	Facility		$327.61	$464.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.02 / $379.70 / $516.26	Professional		$252.02	$379.70	$516.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,634.69 / $3,070.82 / $4,160.47	Facility		$2,634.69	$3,070.82	$4,160.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $357.66 / $592.96	Professional		$60.80	$357.66	$592.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.95 / $464.74 / $637.87	Professional		$211.95	$464.74	$637.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $379.70 / $2,056.00 / $4,933.00	Facility		$379.70	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $321.66 / $469.27 / $778.43	Professional		$321.66	$469.27	$778.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $210.07 / $274.08 / $378.97	Professional		$210.07	$274.08	$378.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,500.00 / $10,556.00	Facility		$2,500.00	$7,500.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $330.69 / $578.92 / $770.48	Professional		$330.69	$578.92	$770.48