Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,025.31 / $2,056.00 / $4,933.00	Facility		$1,025.31	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.06 / $902.84 / $1,064.74	Professional		$720.06	$902.84	$1,064.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,958.34 / $4,645.93 / $6,294.50	Facility		$3,958.34	$4,645.93	$6,294.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.76 / $705.78 / $1,236.23	Professional		$224.76	$705.78	$1,236.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.85 / $984.82 / $1,682.86	Professional		$602.85	$984.82	$1,682.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $983.70 / $2,056.00 / $4,933.00	Facility		$983.70	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $793.43 / $983.70 / $1,327.99	Professional		$793.43	$983.70	$1,327.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $657.00 / $827.75 / $1,182.61	Professional		$657.00	$827.75	$1,182.61
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 $845.58 / $1,062.10 / $1,405.65	Professional		$845.58	$1,062.10	$1,405.65