Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,046.31 / $4,933.00 / $4,933.00	Facility		$1,046.31	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $760.10 / $969.86 / $1,046.31	Professional		$760.10	$969.86	$1,046.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.55 / $5,493.44 / $7,363.81	Facility		$3,715.55	$5,493.44	$7,363.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.76 / $613.02 / $1,363.71	Professional		$216.76	$613.02	$1,363.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.17 / $1,027.27 / $1,968.75	Professional		$756.17	$1,027.27	$1,968.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $917.68 / $4,933.00 / $4,933.00	Facility		$917.68	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $809.39 / $917.68 / $1,288.18	Professional		$809.39	$917.68	$1,288.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $713.84 / $1,075.97	Professional		$65.50	$713.84	$1,075.97
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,702.00 / $10,351.00	Facility		$3,500.00	$8,702.00	$10,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $853.63 / $1,108.17 / $1,388.89	Professional		$853.63	$1,108.17	$1,388.89