Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,727.33 / $4,933.00 / $4,933.00	Facility		$2,727.33	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,625.18 / $2,727.33 / $2,828.34	Professional		$1,625.18	$2,727.33	$2,828.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,848.41 / $11,487.85 / $16,162.56	Facility		$9,848.41	$11,487.85	$16,162.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.16 / $2,094.44 / $3,222.23	Professional		$512.16	$2,094.44	$3,222.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,820.58 / $2,637.87 / $3,304.65	Professional		$1,820.58	$2,637.87	$3,304.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,275.21 / $4,933.00 / $4,933.00	Facility		$2,275.21	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,275.21 / $2,325.77 / $3,058.82	Professional		$2,275.21	$2,325.77	$3,058.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $1,813.39 / $2,722.74	Professional		$164.25	$1,813.39	$2,722.74
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 $2,212.89 / $2,844.59 / $3,947.86	Professional		$2,212.89	$2,844.59	$3,947.86