Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,405.96 / $4,933.00 / $4,933.00	Facility		$1,405.96	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.21 / $1,405.96 / $2,231.77	Professional		$933.21	$1,405.96	$2,231.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,279.79 / $7,370.62 / $9,986.02	Facility		$6,279.79	$7,370.62	$9,986.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.35 / $1,670.23 / $2,786.69	Professional		$317.35	$1,670.23	$2,786.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $806.38 / $1,213.30 / $2,332.79	Professional		$806.38	$1,213.30	$2,332.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,108.75 / $1,405.96 / $4,933.00	Facility		$1,108.75	$1,405.96	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,097.25 / $1,201.75 / $1,823.53	Professional		$1,097.25	$1,201.75	$1,823.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.11 / $747.43 / $1,271.63	Professional		$103.11	$747.43	$1,271.63
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 $1,024.11 / $1,250.80 / $1,783.22	Professional		$1,024.11	$1,250.80	$1,783.22