Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.13 / $4,933.00 / $4,933.00	Facility		$604.13	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.09 / $604.13 / $626.51	Professional		$503.09	$604.13	$626.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,976.87 / $3,469.65 / $4,700.82	Facility		$2,976.87	$3,469.65	$4,700.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.42 / $413.33 / $735.58	Professional		$112.42	$413.33	$735.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.59 / $726.72 / $996.95	Professional		$401.59	$726.72	$996.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $604.13 / $4,933.00 / $4,933.00	Facility		$604.13	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $512.10 / $683.05 / $874.54	Professional		$512.10	$683.05	$874.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $362.04 / $453.04 / $671.08	Professional		$362.04	$453.04	$671.08
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 $592.25 / $881.46 / $1,181.59	Professional		$592.25	$881.46	$1,181.59