Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,635.66 / $4,933.00 / $4,933.00	Facility		$1,635.66	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,186.97 / $1,635.66 / $1,696.24	Professional		$1,186.97	$1,635.66	$1,696.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,881.65 / $6,855.27 / $9,287.79	Facility		$5,881.65	$6,855.27	$9,287.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.81 / $1,516.39 / $2,830.61	Professional		$320.81	$1,516.39	$2,830.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,086.83 / $1,668.25 / $2,199.80	Professional		$1,086.83	$1,668.25	$2,199.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,409.30 / $4,933.00 / $4,933.00	Facility		$1,409.30	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,396.53 / $1,409.30 / $2,091.71	Professional		$1,396.53	$1,409.30	$2,091.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.55 / $1,026.91 / $1,570.22	Professional		$107.55	$1,026.91	$1,570.22
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 $1,414.06 / $1,734.51 / $2,395.31	Professional		$1,414.06	$1,734.51	$2,395.31