Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,393.12 / $4,933.00 / $4,933.00	Facility		$2,393.12	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,623.51 / $2,134.05 / $2,481.76	Professional		$1,623.51	$2,134.05	$2,481.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,591.49 / $10,013.68 / $13,566.94	Facility		$8,591.49	$10,013.68	$13,566.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.06 / $1,744.46 / $2,791.13	Professional		$505.06	$1,744.46	$2,791.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,604.46 / $2,698.92 / $3,027.50	Professional		$1,604.46	$2,698.92	$3,027.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,973.92 / $4,933.00 / $4,933.00	Facility		$1,973.92	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,904.70 / $2,046.09 / $3,082.98	Professional		$1,904.70	$2,046.09	$3,082.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.89 / $1,457.70 / $2,248.08	Professional		$133.89	$1,457.70	$2,248.08
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 $2,068.30 / $2,533.77 / $3,461.43	Professional		$2,068.30	$2,533.77	$3,461.43