Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,699.87 / $4,933.00 / $4,933.00	Facility		$2,699.87	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,879.69 / $2,699.87 / $2,799.86	Professional		$1,879.69	$2,699.87	$2,799.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,720.27 / $11,329.32 / $15,349.42	Facility		$9,720.27	$11,329.32	$15,349.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $532.63 / $1,939.54 / $3,318.99	Professional		$532.63	$1,939.54	$3,318.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,803.80 / $2,666.03 / $3,488.62	Professional		$1,803.80	$2,666.03	$3,488.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,277.41 / $4,933.00 / $4,933.00	Facility		$2,277.41	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,277.41 / $2,303.29 / $3,011.11	Professional		$2,277.41	$2,303.29	$3,011.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $1,778.56 / $2,674.94	Professional		$164.25	$1,778.56	$2,674.94
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 $2,329.62 / $2,915.03 / $4,255.85	Professional		$2,329.62	$2,915.03	$4,255.85