Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,695.14 / $4,933.00 / $5,757.00	Facility		$1,695.14	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,015.17 / $1,695.14 / $1,760.34	Professional		$1,015.17	$1,695.14	$1,760.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,110.10 / $5,965.03 / $8,126.01	Facility		$5,110.10	$5,965.03	$8,126.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.58 / $1,499.93 / $2,699.85	Professional		$353.58	$1,499.93	$2,699.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $957.51 / $1,505.71 / $2,761.36	Professional		$957.51	$1,505.71	$2,761.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,149.11 / $4,933.00 / $5,757.00	Facility		$1,149.11	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,149.11 / $1,344.47 / $2,124.35	Professional		$1,149.11	$1,344.47	$2,124.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.73 / $1,003.44 / $1,603.06	Professional		$137.73	$1,003.44	$1,603.06
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,218.14 / $1,493.86 / $2,148.51	Professional		$1,218.14	$1,493.86	$2,148.51