Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,455.89 / $2,877.00 / $4,933.00	Facility		$1,455.89	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $984.01 / $1,455.89 / $1,509.77	Professional		$984.01	$1,455.89	$1,509.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40,120.36 / $54,841.00 / $126,467.72	Facility		$40,120.36	$54,841.00	$126,467.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,069.88 / $10,216.93 / $15,349.37	Professional		$3,069.88	$10,216.93	$15,349.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,653.40 / $2,653.40 / $2,653.40	Professional		$2,653.40	$2,653.40	$2,653.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,267.72 / $2,877.00 / $4,933.00	Facility		$1,267.72	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,267.72 / $1,455.89 / $2,259.26	Professional		$1,267.72	$1,455.89	$2,259.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,798.00 / $14,145.00 / $20,603.00	Facility		$6,798.00	$14,145.00	$20,603.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,306.88 / $1,642.42 / $2,184.67	Professional		$1,306.88	$1,642.42	$2,184.67