Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,012.80 / $4,933.00 / $4,933.00	Facility		$1,012.80	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $732.89 / $1,011.72 / $1,051.75	Professional		$732.89	$1,011.72	$1,051.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.39 / $5,597.88 / $7,584.24	Facility		$4,769.39	$5,597.88	$7,584.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.27 / $1,217.57 / $2,100.30	Professional		$215.27	$1,217.57	$2,100.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $595.51 / $1,045.11 / $1,753.99	Professional		$595.51	$1,045.11	$1,753.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $986.51 / $1,012.80 / $6,906.00	Facility		$986.51	$1,012.80	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $796.23 / $986.51 / $1,388.64	Professional		$796.23	$986.51	$1,388.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $554.15 / $915.27	Professional		$68.56	$554.15	$915.27
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 $869.76 / $1,101.25 / $1,544.81	Professional		$869.76	$1,101.25	$1,544.81