Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,902.61 / $4,933.00 / $4,933.00	Facility		$1,902.61	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.07 / $1,902.61 / $1,973.08	Professional		$1,318.07	$1,902.61	$1,973.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,595.78 / $7,693.76 / $10,824.55	Facility		$6,595.78	$7,693.76	$10,824.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.78 / $1,319.03 / $3,521.17	Professional		$358.78	$1,319.03	$3,521.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,277.41 / $2,056.56 / $2,448.79	Professional		$1,277.41	$2,056.56	$2,448.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,605.02 / $4,933.00 / $4,933.00	Facility		$1,605.02	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,605.02 / $1,621.54 / $2,286.14	Professional		$1,605.02	$1,621.54	$2,286.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.24 / $1,127.04 / $1,762.79	Professional		$102.24	$1,127.04	$1,762.79
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 $1,620.97 / $1,984.77 / $2,808.80	Professional		$1,620.97	$1,984.77	$2,808.80