Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.94 / $4,112.00 / $4,933.00	Facility		$1,013.94	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.38 / $1,013.94 / $1,052.93	Professional		$727.38	$1,013.94	$1,052.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,157.49 / $3,705.97 / $5,021.00	Facility		$3,157.49	$3,705.97	$5,021.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.44 / $847.94 / $1,981.05	Professional		$220.44	$847.94	$1,981.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.04 / $892.62 / $1,734.19	Professional		$584.04	$892.62	$1,734.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $756.40 / $4,112.00 / $4,933.00	Facility		$756.40	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $756.40 / $849.47 / $1,227.85	Professional		$756.40	$849.47	$1,227.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.96 / $530.65 / $897.29	Professional		$102.96	$530.65	$897.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $9,202.00	Facility		$2,500.00	$7,780.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $756.40 / $886.84 / $1,177.03	Professional		$756.40	$886.84	$1,177.03