Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,151.58 / $4,933.00 / $4,933.00	Facility		$2,151.58	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,510.95 / $2,151.58 / $2,231.27	Professional		$1,510.95	$2,151.58	$2,231.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,844.51 / $9,150.36 / $12,873.88	Facility		$7,844.51	$9,150.36	$12,873.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $406.35 / $1,493.94 / $2,658.74	Professional		$406.35	$1,493.94	$2,658.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.49 / $2,135.52 / $2,808.53	Professional		$1,445.49	$2,135.52	$2,808.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,821.74 / $4,933.00 / $4,933.00	Facility		$1,821.74	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,821.74 / $1,837.21 / $2,402.34	Professional		$1,821.74	$1,837.21	$2,402.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.53 / $1,280.21 / $1,987.17	Professional		$104.53	$1,280.21	$1,987.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,740.00	Facility		$1,906.00	$4,645.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.31 / $2,241.64 / $3,098.84	Professional		$1,862.31	$2,241.64	$3,098.84