Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,327.35 / $4,933.00 / $5,757.00	Facility		$1,327.35	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $932.72 / $1,321.40 / $1,378.41	Professional		$932.72	$1,321.40	$1,378.41
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 $288.82 / $1,682.48 / $2,624.67	Professional		$288.82	$1,682.48	$2,624.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $760.15 / $1,227.03 / $2,197.17	Professional		$760.15	$1,227.03	$2,197.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,065.91 / $4,933.00 / $5,757.00	Facility		$1,065.91	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,036.10 / $1,172.50 / $1,721.57	Professional		$1,036.10	$1,172.50	$1,721.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $713.61 / $1,205.45	Professional		$68.66	$713.61	$1,205.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $6,978.00 / $9,202.00	Facility		$2,500.00	$6,978.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,043.23 / $1,243.27 / $1,685.13	Professional		$1,043.23	$1,243.27	$1,685.13