Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,282.80 / $2,877.00 / $4,933.00	Facility		$1,282.80	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $899.05 / $1,282.80 / $1,332.13	Professional		$899.05	$1,282.80	$1,332.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.39 / $5,567.33 / $7,584.24	Facility		$4,769.39	$5,567.33	$7,584.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.58 / $1,524.82 / $2,401.59	Professional		$269.58	$1,524.82	$2,401.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $717.38 / $1,247.83 / $2,079.83	Professional		$717.38	$1,247.83	$2,079.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,018.22 / $2,877.00 / $4,933.00	Facility		$1,018.22	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,018.22 / $1,128.66 / $1,680.67	Professional		$1,018.22	$1,128.66	$1,680.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.73 / $749.80 / $1,214.48	Professional		$102.73	$749.80	$1,214.48
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 $1,020.25 / $1,213.48 / $1,717.91	Professional		$1,020.25	$1,213.48	$1,717.91