Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,913.68 / $4,933.00 / $4,933.00	Facility		$1,913.68	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,398.30 / $1,913.68 / $1,984.55	Professional		$1,398.30	$1,913.68	$1,984.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,814.91 / $9,108.54 / $12,340.64	Facility		$7,814.91	$9,108.54	$12,340.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.27 / $1,994.98 / $3,149.98	Professional		$371.27	$1,994.98	$3,149.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,270.49 / $1,947.94 / $2,590.96	Professional		$1,270.49	$1,947.94	$2,590.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,654.06 / $4,933.00 / $4,933.00	Facility		$1,654.06	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,597.93 / $1,654.06 / $2,168.96	Professional		$1,597.93	$1,654.06	$2,168.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.73 / $1,226.33 / $1,873.77	Professional		$133.73	$1,226.33	$1,873.77
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 $1,580.57 / $2,092.30 / $2,775.23	Professional		$1,580.57	$2,092.30	$2,775.23