Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.62 / $2,056.00 / $6,906.00	Facility		$121.62	$2,056.00	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.49 / $100.03 / $153.43	Professional		$83.49	$100.03	$153.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,510.84 / $2,930.91 / $3,992.71	Facility		$2,510.84	$2,930.91	$3,992.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $142.91 / $246.55	Professional		$24.30	$142.91	$246.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.12 / $124.25 / $193.01	Professional		$68.12	$124.25	$193.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $103.51 / $2,772.00 / $4,933.00	Facility		$103.51	$2,772.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $95.99 / $106.11 / $163.18	Professional		$95.99	$106.11	$163.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.15 / $87.32 / $127.59	Professional		$60.15	$87.32	$127.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.98 / $3,260.00 / $6,327.00	Facility		$1,269.98	$3,260.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.76 / $121.20 / $164.39	Professional		$107.76	$121.20	$164.39