Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,667.05 / $4,933.00 / $4,933.00	Facility		$2,667.05	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,779.01 / $2,484.69 / $5,515.73	Professional		$1,779.01	$2,484.69	$5,515.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,618.08 / $11,219.17 / $15,784.55	Facility		$9,618.08	$11,219.17	$15,784.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $522.27 / $1,846.26 / $3,987.93	Professional		$522.27	$1,846.26	$3,987.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,784.43 / $2,759.30 / $3,352.42	Professional		$1,784.43	$2,759.30	$3,352.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,299.44 / $4,933.00 / $4,933.00	Facility		$2,299.44	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,121.11 / $2,545.33 / $3,860.82	Professional		$2,121.11	$2,545.33	$3,860.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $1,733.46 / $2,612.81	Professional		$164.25	$1,733.46	$2,612.81
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 $2,304.90 / $2,777.80 / $3,931.63	Professional		$2,304.90	$2,777.80	$3,931.63