Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,074.24 / $4,933.00 / $4,933.00	Facility		$3,074.24	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,863.05 / $3,074.24 / $3,188.11	Professional		$1,863.05	$3,074.24	$3,188.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,717.43 / $13,657.08 / $18,503.16	Facility		$11,717.43	$13,657.08	$18,503.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.16 / $2,199.13 / $3,763.22	Professional		$575.16	$2,199.13	$3,763.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,047.29 / $2,902.46 / $3,703.47	Professional		$2,047.29	$2,902.46	$3,703.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,597.40 / $4,933.00 / $4,933.00	Facility		$2,597.40	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,597.40 / $2,617.28 / $3,606.04	Professional		$2,597.40	$2,617.28	$3,606.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.62 / $1,818.81 / $2,839.15	Professional		$164.62	$1,818.81	$2,839.15
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 $2,541.17 / $3,162.17 / $4,451.30	Professional		$2,541.17	$3,162.17	$4,451.30