Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,356.05 / $4,933.00 / $4,933.00	Facility		$4,356.05	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,788.97 / $4,350.71 / $4,523.59	Professional		$2,788.97	$4,350.71	$4,523.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,887.02 / $18,646.70 / $25,263.31	Facility		$15,887.02	$18,646.70	$25,263.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $964.89 / $5,102.81 / $8,513.78	Professional		$964.89	$5,102.81	$8,513.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,478.25 / $3,676.79 / $7,244.59	Professional		$2,478.25	$3,676.79	$7,244.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,855.25 / $4,356.05 / $6,906.00	Facility		$2,855.25	$4,356.05	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,855.25 / $3,387.13 / $5,262.67	Professional		$2,855.25	$3,387.13	$5,262.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $345.33 / $2,255.06 / $3,874.25	Professional		$345.33	$2,255.06	$3,874.25
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 $3,089.91 / $3,722.33 / $5,256.69	Professional		$3,089.91	$3,722.33	$5,256.69