Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,648.53 / $4,933.00 / $4,933.00	Facility		$1,648.53	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,213.01 / $1,534.24 / $1,709.59	Professional		$1,213.01	$1,534.24	$1,709.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,171.64 / $7,193.26 / $9,745.73	Facility		$6,171.64	$7,193.26	$9,745.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.51 / $1,205.89 / $1,837.55	Professional		$367.51	$1,205.89	$1,837.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,107.74 / $1,870.64 / $2,042.96	Professional		$1,107.74	$1,870.64	$2,042.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,389.05 / $4,933.00 / $4,933.00	Facility		$1,389.05	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,341.53 / $1,410.93 / $1,975.71	Professional		$1,341.53	$1,410.93	$1,975.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $994.03 / $1,545.32	Professional		$69.02	$994.03	$1,545.32
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 $1,422.00 / $1,774.94 / $2,344.79	Professional		$1,422.00	$1,774.94	$2,344.79