Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,525.52 / $4,933.00 / $4,933.00	Facility		$2,525.52	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,838.38 / $2,525.52 / $2,619.05	Professional		$1,838.38	$2,525.52	$2,619.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,076.43 / $10,578.90 / $14,332.73	Facility		$9,076.43	$10,578.90	$14,332.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $525.97 / $2,629.86 / $3,079.15	Professional		$525.97	$2,629.86	$3,079.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,674.83 / $2,601.61 / $3,403.84	Professional		$1,674.83	$2,601.61	$3,403.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,180.14 / $4,933.00 / $4,933.00	Facility		$2,180.14	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,155.36 / $2,180.14 / $2,858.81	Professional		$2,155.36	$2,180.14	$2,858.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $1,642.55 / $2,461.68	Professional		$164.25	$1,642.55	$2,461.68
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 $2,169.19 / $2,650.95 / $3,663.42	Professional		$2,169.19	$2,650.95	$3,663.42