Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $982.01 / $4,112.00 / $4,933.00	Facility		$982.01	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.95 / $982.01 / $1,019.78	Professional		$690.95	$982.01	$1,019.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,624.89 / $4,254.56 / $5,764.25	Facility		$3,624.89	$4,254.56	$5,764.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.77 / $1,169.25 / $1,894.19	Professional		$198.77	$1,169.25	$1,894.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $564.82 / $943.26 / $1,629.81	Professional		$564.82	$943.26	$1,629.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $801.59 / $4,112.00 / $4,933.00	Facility		$801.59	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $768.43 / $878.20 / $1,273.67	Professional		$768.43	$878.20	$1,273.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $509.65 / $899.09	Professional		$68.50	$509.65	$899.09
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 $796.86 / $971.13 / $1,248.59	Professional		$796.86	$971.13	$1,248.59