Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,456.41 / $4,933.00 / $4,933.00	Facility		$1,456.41	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.65 / $1,302.98 / $1,512.43	Professional		$942.65	$1,302.98	$1,512.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,311.94 / $6,200.63 / $8,446.95	Facility		$5,311.94	$6,200.63	$8,446.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.33 / $1,431.11 / $2,829.90	Professional		$288.33	$1,431.11	$2,829.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,021.56 / $1,347.52 / $2,264.78	Professional		$1,021.56	$1,347.52	$2,264.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,227.72 / $4,933.00 / $4,933.00	Facility		$1,227.72	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,135.02 / $1,227.72 / $1,931.86	Professional		$1,135.02	$1,227.72	$1,931.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.64 / $816.41 / $1,369.62	Professional		$103.64	$816.41	$1,369.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $4,056.00 / $6,036.00	Facility		$1,713.00	$4,056.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,219.58 / $1,420.06 / $2,277.71	Professional		$1,219.58	$1,420.06	$2,277.71