Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,394.76 / $4,933.00 / $5,757.00	Facility		$2,394.76	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,643.17 / $2,265.79 / $2,486.86	Professional		$1,643.17	$2,265.79	$2,486.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.58 / $10,177.89 / $13,789.42	Facility		$8,671.58	$10,177.89	$13,789.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.43 / $2,542.42 / $3,355.99	Professional		$475.43	$2,542.42	$3,355.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,394.26 / $2,006.28 / $3,658.99	Professional		$1,394.26	$2,006.28	$3,658.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $4,933.00 / $5,757.00	Facility		$1,992.00	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,885.43 / $2,154.78 / $3,083.77	Professional		$1,885.43	$2,154.78	$3,083.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.69 / $1,226.29 / $2,110.39	Professional		$207.69	$1,226.29	$2,110.39
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,880.22 / $2,208.83 / $3,011.21	Professional		$1,880.22	$2,208.83	$3,011.21