Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,104.12 / $4,933.00 / $5,757.00	Facility		$2,104.12	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,477.15 / $2,075.96 / $2,185.04	Professional		$1,477.15	$2,075.96	$2,185.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,615.69 / $8,938.58 / $12,110.36	Facility		$7,615.69	$8,938.58	$12,110.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.65 / $1,720.91 / $4,270.17	Professional		$437.65	$1,720.91	$4,270.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,198.00 / $1,910.92 / $3,471.06	Professional		$1,198.00	$1,910.92	$3,471.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,718.33 / $4,933.00 / $5,757.00	Facility		$1,718.33	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,638.52 / $1,872.60 / $2,647.06	Professional		$1,638.52	$1,872.60	$2,647.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.69 / $1,092.30 / $1,856.64	Professional		$207.69	$1,092.30	$1,856.64
United Facility/Professional Facility Modifier Low / Median / High Price $5,356.00 / $11,464.00 / $14,085.00	Facility		$5,356.00	$11,464.00	$14,085.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,691.33 / $1,989.84 / $2,685.82	Professional		$1,691.33	$1,989.84	$2,685.82