Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.48 / $4,933.00 / $4,933.00	Facility		$1,758.48	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,199.75 / $1,582.72 / $1,758.48	Professional		$1,199.75	$1,582.72	$1,758.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,908.81 / $7,257.68 / $10,019.95	Facility		$4,908.81	$7,257.68	$10,019.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.09 / $1,339.88 / $2,266.31	Professional		$347.09	$1,339.88	$2,266.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,193.58 / $1,667.10 / $3,220.71	Professional		$1,193.58	$1,667.10	$3,220.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,418.33 / $4,933.00 / $4,933.00	Facility		$1,418.33	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,368.87 / $1,499.24 / $2,153.17	Professional		$1,368.87	$1,499.24	$2,153.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.42 / $1,151.49 / $1,759.35	Professional		$130.42	$1,151.49	$1,759.35
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,036.00	Facility		$850.00	$4,645.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,394.30 / $1,804.54 / $2,287.79	Professional		$1,394.30	$1,804.54	$2,287.79