Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.76 / $2,877.00 / $4,933.00	Facility		$151.76	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.92 / $185.97 / $308.88	Professional		$118.92	$185.97	$308.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.48 / $322.24 / $436.59	Facility		$276.48	$322.24	$436.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $184.97 / $306.68	Professional		$36.82	$184.97	$306.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.57 / $177.50 / $316.70	Professional		$125.57	$177.50	$316.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $212.83 / $2,877.00 / $4,933.00	Facility		$212.83	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $164.40 / $212.83 / $332.08	Professional		$164.40	$212.83	$332.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.99 / $187.72 / $275.41	Professional		$145.99	$187.72	$275.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,857.00 / $6,327.00	Facility		$1,527.00	$4,857.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.40 / $252.48 / $346.64	Professional		$210.40	$252.48	$346.64