Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,429.47 / $4,933.00 / $5,757.00	Facility		$1,429.47	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,004.66 / $1,420.75 / $1,484.45	Professional		$1,004.66	$1,420.75	$1,484.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,224.08 / $6,131.54 / $8,307.26	Facility		$5,224.08	$6,131.54	$8,307.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.66 / $1,353.70 / $2,792.03	Professional		$287.66	$1,353.70	$2,792.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $817.68 / $1,271.35 / $2,364.16	Professional		$817.68	$1,271.35	$2,364.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,149.05 / $4,933.00 / $5,757.00	Facility		$1,149.05	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,115.61 / $1,263.95 / $1,848.88	Professional		$1,115.61	$1,263.95	$1,848.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.64 / $767.02 / $1,295.67	Professional		$103.64	$767.02	$1,295.67
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 $1,137.51 / $1,341.93 / $1,838.40	Professional		$1,137.51	$1,341.93	$1,838.40