Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $842.80 / $878.00 / $6,906.00	Facility		$842.80	$878.00	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.86 / $842.80 / $874.02	Professional		$610.86	$842.80	$874.02
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 $165.00 / $922.04 / $1,455.85	Professional		$165.00	$922.04	$1,455.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.61 / $674.98 / $1,268.08	Professional		$505.61	$674.98	$1,268.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $685.66 / $842.80 / $6,906.00	Facility		$685.66	$842.80	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $685.66 / $717.34 / $1,055.56	Professional		$685.66	$717.34	$1,055.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $434.28 / $729.86	Professional		$68.25	$434.28	$729.86
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 $648.44 / $765.30 / $1,061.13	Professional		$648.44	$765.30	$1,061.13