Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $878.00 / $1,840.05 / $6,906.00	Facility		$878.00	$1,840.05	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,164.50 / $1,393.50 / $1,752.43	Professional		$1,164.50	$1,393.50	$1,752.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,320.66 / $7,418.60 / $10,051.02	Facility		$6,320.66	$7,418.60	$10,051.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.09 / $1,309.16 / $2,154.51	Professional		$356.09	$1,309.16	$2,154.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.28 / $1,535.39 / $2,914.26	Professional		$981.28	$1,535.39	$2,914.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,441.41 / $1,752.43 / $6,906.00	Facility		$1,441.41	$1,752.43	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,237.84 / $1,485.42 / $2,248.82	Professional		$1,237.84	$1,485.42	$2,248.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.88 / $923.55 / $1,547.78	Professional		$136.88	$923.55	$1,547.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,702.00 / $10,652.00	Facility		$3,500.00	$8,702.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,391.62 / $1,658.79 / $2,243.44	Professional		$1,391.62	$1,658.79	$2,243.44