Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.16 / $4,933.00 / $4,933.00	Facility		$3,090.16	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,880.64 / $3,090.16 / $3,204.61	Professional		$1,880.64	$3,090.16	$3,204.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,771.48 / $13,720.07 / $18,588.52	Facility		$11,771.48	$13,720.07	$18,588.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $643.70 / $2,872.29 / $3,786.48	Professional		$643.70	$2,872.29	$3,786.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,059.58 / $2,821.80 / $3,728.22	Professional		$2,059.58	$2,821.80	$3,728.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,689.38 / $4,933.00 / $4,933.00	Facility		$2,689.38	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,632.17 / $2,689.38 / $3,534.74	Professional		$2,632.17	$2,689.38	$3,534.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.62 / $1,826.18 / $2,874.95	Professional		$164.62	$1,826.18	$2,874.95
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 $2,507.69 / $3,176.01 / $4,159.06	Professional		$2,507.69	$3,176.01	$4,159.06