Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,525.31 / $4,933.00 / $5,757.00	Facility		$1,525.31	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.20 / $1,505.78 / $1,583.98	Professional		$1,072.20	$1,505.78	$1,583.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,612.95 / $6,587.95 / $8,925.62	Facility		$5,612.95	$6,587.95	$8,925.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.15 / $1,701.20 / $2,987.76	Professional		$358.15	$1,701.20	$2,987.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $867.46 / $1,429.73 / $2,518.29	Professional		$867.46	$1,429.73	$2,518.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,246.77 / $4,933.00 / $5,757.00	Facility		$1,246.77	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,186.06 / $1,355.50 / $1,978.33	Professional		$1,186.06	$1,355.50	$1,978.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.57 / $839.43 / $1,380.63	Professional		$103.57	$839.43	$1,380.63
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,702.00 / $10,652.00	Facility		$3,500.00	$8,702.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,183.85 / $1,473.79 / $1,981.11	Professional		$1,183.85	$1,473.79	$1,981.11