Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,552.71 / $4,933.00 / $4,933.00	Facility		$2,552.71	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,798.96 / $2,552.71 / $2,647.27	Professional		$1,798.96	$2,552.71	$2,647.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,277.53 / $10,821.94 / $15,225.67	Facility		$9,277.53	$10,821.94	$15,225.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $504.89 / $1,838.54 / $2,969.96	Professional		$504.89	$1,838.54	$2,969.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,711.71 / $2,558.46 / $3,342.14	Professional		$1,711.71	$2,558.46	$3,342.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,176.67 / $4,933.00 / $4,933.00	Facility		$2,176.67	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,146.48 / $2,176.67 / $3,053.33	Professional		$2,146.48	$2,176.67	$3,053.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.28 / $1,528.06 / $2,357.27	Professional		$134.28	$1,528.06	$2,357.27
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 $2,231.71 / $2,690.58 / $3,677.98	Professional		$2,231.71	$2,690.58	$3,677.98