Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,140.85 / $4,933.00 / $5,757.00	Facility		$2,140.85	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,502.51 / $2,047.94 / $2,223.19	Professional		$1,502.51	$2,047.94	$2,223.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,802.84 / $5,597.88 / $7,584.24	Facility		$4,802.84	$5,597.88	$7,584.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $448.44 / $678.32 / $3,140.40	Professional		$448.44	$678.32	$3,140.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,198.07 / $2,139.92 / $3,463.98	Professional		$1,198.07	$2,139.92	$3,463.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,561.93 / $4,933.00 / $5,757.00	Facility		$1,561.93	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,561.93 / $1,563.54 / $2,883.11	Professional		$1,561.93	$1,563.54	$2,883.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $171.98 / $1,254.26 / $2,000.64	Professional		$171.98	$1,254.26	$2,000.64
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $7,935.00 / $10,652.00	Facility		$4,069.00	$7,935.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,739.30 / $2,009.74 / $2,860.56	Professional		$1,739.30	$2,009.74	$2,860.56