Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.16 / $4,933.00 / $4,933.00	Facility		$1,017.16	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.27 / $841.29 / $1,056.28	Professional		$717.27	$841.29	$1,056.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,701.28 / $4,344.22 / $5,885.72	Facility		$3,701.28	$4,344.22	$5,885.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.86 / $786.93 / $1,379.01	Professional		$203.86	$786.93	$1,379.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $582.66 / $912.31 / $1,730.75	Professional		$582.66	$912.31	$1,730.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $832.16 / $1,017.16 / $6,906.00	Facility		$832.16	$1,017.16	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $764.80 / $861.14 / $1,216.07	Professional		$764.80	$861.14	$1,216.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $537.82 / $917.01	Professional		$68.50	$537.82	$917.01
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 $822.64 / $956.06 / $1,297.56	Professional		$822.64	$956.06	$1,297.56