Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,735.91 / $4,933.00 / $4,933.00	Facility		$3,735.91	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,342.17 / $3,735.91 / $4,319.49	Professional		$2,342.17	$3,735.91	$4,319.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,189.84 / $22,512.42 / $54,103.47	Facility		$16,189.84	$22,512.42	$54,103.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15,544.82 / $17,181.12 / $20,453.71	Professional		$15,544.82	$17,181.12	$20,453.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,893.14 / $1,893.14 / $1,893.14	Professional		$1,893.14	$1,893.14	$1,893.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,735.91 / $4,933.00 / $6,333.37	Facility		$3,735.91	$4,933.00	$6,333.37
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,515.14 / $3,735.91 / $4,319.49	Professional		$2,515.14	$3,735.91	$4,319.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $12,500.50 / $15,470.64 / $15,470.64	Facility		$12,500.50	$15,470.64	$15,470.64
United Facility/Professional Professional Modifier Low / Median / High Price $3,831.58 / $4,689.18 / $6,057.73	Professional		$3,831.58	$4,689.18	$6,057.73