Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,028.53 / $4,933.00 / $4,933.00	Facility		$2,028.53	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,477.02 / $2,028.53 / $2,103.66	Professional		$1,477.02	$2,028.53	$2,103.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,316.83 / $8,528.02 / $11,554.11	Facility		$7,316.83	$8,528.02	$11,554.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.24 / $2,224.98 / $3,504.34	Professional		$378.24	$2,224.98	$3,504.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,346.44 / $2,123.71 / $2,736.19	Professional		$1,346.44	$2,123.71	$2,736.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,751.12 / $4,933.00 / $4,933.00	Facility		$1,751.12	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,730.72 / $1,751.12 / $2,611.07	Professional		$1,730.72	$1,751.12	$2,611.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.09 / $1,181.27 / $1,847.83	Professional		$104.09	$1,181.27	$1,847.83
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 $1,740.82 / $2,133.38 / $2,942.22	Professional		$1,740.82	$2,133.38	$2,942.22