Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,973.46 / $4,933.00 / $4,933.00	Facility		$1,973.46	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,246.20 / $1,973.46 / $1,973.46	Professional		$1,246.20	$1,973.46	$1,973.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,580.38 / $3,580.38 / $3,580.38	Facility		$3,580.38	$3,580.38	$3,580.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $669.54 / $3,401.36 / $4,475.47	Professional		$669.54	$3,401.36	$4,475.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $842.71 / $842.71 / $957.63	Professional		$842.71	$842.71	$957.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,793.42 / $4,933.00 / $4,933.00	Facility		$2,793.42	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,973.46 / $2,793.42 / $3,631.44	Professional		$1,973.46	$2,793.42	$3,631.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,819.00 / $8,339.00	Facility		$2,524.00	$5,819.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,684.60 / $3,300.57 / $4,475.18	Professional		$2,684.60	$3,300.57	$4,475.18