Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,262.25 / $4,933.00 / $6,906.00	Facility		$2,262.25	$4,933.00	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,430.16 / $1,781.55 / $2,697.42	Professional		$1,430.16	$1,781.55	$2,697.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,644.58 / $1,644.58 / $2,631.33	Facility		$1,644.58	$1,644.58	$2,631.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.69 / $1,776.15 / $3,026.03	Professional		$469.69	$1,776.15	$3,026.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,280.56 / $2,009.82 / $3,733.60	Professional		$1,280.56	$2,009.82	$3,733.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,745.97 / $4,933.00 / $6,906.00	Facility		$1,745.97	$4,933.00	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,660.35 / $1,816.74 / $2,918.80	Professional		$1,660.35	$1,816.74	$2,918.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.22 / $1,178.90 / $1,991.56	Professional		$207.22	$1,178.90	$1,991.56
United Facility/Professional Facility Modifier Low / Median / High Price $5,356.00 / $11,464.00 / $14,085.00	Facility		$5,356.00	$11,464.00	$14,085.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,692.90 / $2,094.85 / $2,952.06	Professional		$1,692.90	$2,094.85	$2,952.06