Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,146.19 / $4,112.00 / $4,933.00	Facility		$1,146.19	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.08 / $982.43 / $1,587.02	Professional		$681.08	$982.43	$1,587.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,122.67 / $4,838.80 / $6,555.81	Facility		$4,122.67	$4,838.80	$6,555.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.86 / $938.56 / $1,651.87	Professional		$215.86	$938.56	$1,651.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.12 / $954.09 / $1,792.67	Professional		$662.12	$954.09	$1,792.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $921.44 / $4,112.00 / $4,933.00	Facility		$921.44	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $908.04 / $1,013.58 / $1,486.61	Professional		$908.04	$1,013.58	$1,486.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $605.97 / $1,021.95	Professional		$68.73	$605.97	$1,021.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,640.00 / $6,327.00	Facility		$1,050.00	$3,640.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $781.01 / $1,013.60 / $1,433.58	Professional		$781.01	$1,013.60	$1,433.58