Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $971.84 / $4,933.00 / $4,933.00	Facility		$971.84	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $839.11 / $971.84 / $1,075.46	Professional		$839.11	$971.84	$1,075.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.41 / $5,190.30 / $7,070.62	Facility		$4,446.41	$5,190.30	$7,070.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.31 / $876.13 / $1,559.24	Professional		$238.31	$876.13	$1,559.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.72 / $1,201.42 / $1,883.72	Professional		$840.72	$1,201.42	$1,883.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $971.84 / $4,933.00 / $4,933.00	Facility		$971.84	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $971.84 / $995.80 / $1,397.00	Professional		$971.84	$995.80	$1,397.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $836.64 / $1,271.72	Professional		$65.66	$836.64	$1,271.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $989.15 / $1,160.08 / $1,577.91	Professional		$989.15	$1,160.08	$1,577.91