Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $2,877.00 / $4,933.00	Facility		$29.50	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $29.50 / $37.43	Professional		$29.50	$29.50	$37.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $563.11 / $819.65 / $1,730.73	Facility		$563.11	$819.65	$1,730.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $581.52 / $636.62 / $826.38	Professional		$581.52	$636.62	$826.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $13.20 / $13.20	Professional		$13.20	$13.20	$13.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $2,877.00 / $4,933.00	Facility		$29.50	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $29.50 / $548.54	Professional		$29.50	$29.50	$548.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00