Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,170.16 / $4,933.00 / $4,933.00	Facility		$4,170.16	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,225.25 / $3,865.75 / $4,324.60	Professional		$2,225.25	$3,865.75	$4,324.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,090.77 / $17,588.82 / $23,830.06	Facility		$15,090.77	$17,588.82	$23,830.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $956.04 / $3,016.37 / $5,112.54	Professional		$956.04	$3,016.37	$5,112.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,786.24 / $3,645.77 / $5,065.22	Professional		$2,786.24	$3,645.77	$5,065.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,532.12 / $4,933.00 / $4,933.00	Facility		$3,532.12	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,418.71 / $3,547.70 / $4,635.97	Professional		$3,418.71	$3,547.70	$4,635.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $205.54 / $2,485.82 / $3,857.97	Professional		$205.54	$2,485.82	$3,857.97
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 $3,241.03 / $4,077.01 / $5,373.93	Professional		$3,241.03	$4,077.01	$5,373.93