Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,847.99 / $4,933.00 / $4,933.00	Facility		$1,847.99	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,302.00 / $1,847.99 / $1,919.07	Professional		$1,302.00	$1,847.99	$1,919.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,540.30 / $7,634.50 / $10,400.29	Facility		$6,540.30	$7,634.50	$10,400.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.72 / $1,398.33 / $2,392.86	Professional		$365.72	$1,398.33	$2,392.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,036.52 / $1,798.81 / $2,945.55	Professional		$1,036.52	$1,798.81	$2,945.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,522.59 / $4,933.00 / $4,933.00	Facility		$1,522.59	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,522.59 / $1,625.84 / $2,509.98	Professional		$1,522.59	$1,625.84	$2,509.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.96 / $1,073.24 / $1,735.02	Professional		$103.96	$1,073.24	$1,735.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,534.41 / $1,800.14 / $2,536.73	Professional		$1,534.41	$1,800.14	$2,536.73