Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.97 / $2,056.00 / $4,933.00	Facility		$125.97	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $179.61 / $320.80	Professional		$85.67	$179.61	$320.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.49 / $368.88 / $499.77	Facility		$316.49	$368.88	$499.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.72 / $145.41 / $229.03	Professional		$24.72	$145.41	$229.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.62 / $176.59 / $364.25	Professional		$75.62	$176.59	$364.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $218.94 / $2,056.00 / $4,933.00	Facility		$218.94	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $125.97 / $218.94 / $341.46	Professional		$125.97	$218.94	$341.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $192.92 / $281.66	Professional		$30.79	$192.92	$281.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,006.00 / $3,362.00 / $6,327.00	Facility		$1,006.00	$3,362.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.46 / $271.48 / $348.05	Professional		$224.46	$271.48	$348.05