Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $924.92 / $4,933.00 / $4,933.00	Facility		$924.92	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $677.39 / $924.92 / $959.18	Professional		$677.39	$924.92	$959.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,858.89 / $3,332.14 / $4,514.52	Facility		$2,858.89	$3,332.14	$4,514.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.32 / $968.87 / $1,453.30	Professional		$180.32	$968.87	$1,453.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.30 / $940.98 / $1,257.89	Professional		$616.30	$940.98	$1,257.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $819.70 / $4,933.00 / $4,933.00	Facility		$819.70	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $790.87 / $819.70 / $1,186.55	Professional		$790.87	$819.70	$1,186.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.83 / $626.22 / $939.54	Professional		$49.83	$626.22	$939.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,780.00 / $10,556.00	Facility		$3,296.00	$7,780.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $836.07 / $1,031.49 / $1,459.94	Professional		$836.07	$1,031.49	$1,459.94