Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,213.94 / $4,933.00 / $5,757.00	Facility		$1,213.94	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.59 / $1,213.94 / $1,323.66	Professional		$853.59	$1,213.94	$1,323.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,313.97 / $6,237.04 / $8,450.20	Facility		$5,313.97	$6,237.04	$8,450.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.57 / $933.51 / $2,369.69	Professional		$268.57	$933.51	$2,369.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $694.25 / $1,119.74 / $2,009.23	Professional		$694.25	$1,119.74	$2,009.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $979.06 / $4,933.00 / $5,757.00	Facility		$979.06	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $954.40 / $1,082.22 / $1,602.40	Professional		$954.40	$1,082.22	$1,602.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $653.49 / $1,096.68	Professional		$68.73	$653.49	$1,096.68
United Facility/Professional Facility Modifier Low / Median / High Price $4,561.00 / $9,143.00 / $12,767.00	Facility		$4,561.00	$9,143.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $966.90 / $1,156.57 / $1,564.22	Professional		$966.90	$1,156.57	$1,564.22