Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $925.63 / $4,112.00 / $4,933.00	Facility		$925.63	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $654.37 / $925.62 / $961.24	Professional		$654.37	$925.62	$961.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,444.48 / $2,869.12 / $3,887.20	Facility		$2,444.48	$2,869.12	$3,887.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.92 / $1,089.58 / $1,817.92	Professional		$217.92	$1,089.58	$1,817.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $547.50 / $843.66 / $1,273.90	Professional		$547.50	$843.66	$1,273.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $774.75 / $4,112.00 / $4,933.00	Facility		$774.75	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $717.73 / $820.27 / $1,200.54	Professional		$717.73	$820.27	$1,200.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $508.90 / $835.48	Professional		$68.50	$508.90	$835.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,806.00 / $8,339.00	Facility		$1,450.00	$5,806.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $729.49 / $905.98 / $1,263.08	Professional		$729.49	$905.98	$1,263.08