Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,495.84 / $4,112.00 / $4,933.00	Facility		$1,495.84	$4,112.00	$4,933.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $747.92 / $747.92 / $747.92	Facility	52	$747.92	$747.92	$747.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,062.39 / $1,290.17 / $1,978.71	Professional		$1,062.39	$1,290.17	$1,978.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,189.15 / $3,717.07 / $5,036.04	Facility		$3,189.15	$3,717.07	$5,036.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.72 / $1,898.30 / $3,046.78	Professional		$322.72	$1,898.30	$3,046.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,086.52 / $1,350.02 / $2,688.70	Professional		$1,086.52	$1,350.02	$2,688.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,475.43 / $4,112.00 / $4,933.00	Facility		$1,475.43	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $747.92 / $747.92 / $747.92	Facility	52	$747.92	$747.92	$747.92
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,193.66 / $1,475.43 / $2,008.40	Professional		$1,193.66	$1,475.43	$2,008.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.71 / $884.99 / $1,409.17	Professional		$136.71	$884.99	$1,409.17
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,780.00 / $10,556.00	Facility		$3,296.00	$7,780.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,176.07 / $1,621.00 / $2,217.31	Professional		$1,176.07	$1,621.00	$2,217.31