Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.22 / $4,933.00 / $4,933.00	Facility		$776.22	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.87 / $723.28 / $776.22	Professional		$566.87	$723.28	$776.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,569.09 / $3,798.40 / $5,244.07	Facility		$2,569.09	$3,798.40	$5,244.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.34 / $635.26 / $1,096.55	Professional		$155.34	$635.26	$1,096.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.51 / $745.00 / $1,504.38	Professional		$562.51	$745.00	$1,504.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $650.91 / $4,933.00 / $4,933.00	Facility		$650.91	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $601.50 / $682.12 / $956.50	Professional		$601.50	$682.12	$956.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $525.88 / $790.08	Professional		$65.50	$525.88	$790.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,542.00 / $7,935.00 / $10,351.00	Facility		$2,542.00	$7,935.00	$10,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $631.79 / $811.93 / $1,059.43	Professional		$631.79	$811.93	$1,059.43