Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,226.24 / $4,933.00 / $5,757.00	Facility		$1,226.24	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $861.90 / $1,226.24 / $2,155.33	Professional		$861.90	$1,226.24	$2,155.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,199.62 / $7,276.53 / $9,858.54	Facility		$6,199.62	$7,276.53	$9,858.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.13 / $1,048.35 / $2,433.59	Professional		$277.13	$1,048.35	$2,433.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $704.16 / $1,163.92 / $2,032.00	Professional		$704.16	$1,163.92	$2,032.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $988.73 / $4,933.00 / $5,757.00	Facility		$988.73	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $962.36 / $1,095.55 / $1,734.62	Professional		$962.36	$1,095.55	$1,734.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $653.49 / $1,097.86	Professional		$68.73	$653.49	$1,097.86
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 $962.55 / $1,169.07 / $1,561.13	Professional		$962.55	$1,169.07	$1,561.13