Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,689.67 / $4,933.00 / $4,933.00	Facility		$1,689.67	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.33 / $1,518.78 / $1,689.67	Professional		$1,203.33	$1,518.78	$1,689.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,067.24 / $7,491.92 / $10,042.70	Facility		$5,067.24	$7,491.92	$10,042.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.58 / $1,365.37 / $2,219.35	Professional		$350.58	$1,365.37	$2,219.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,146.75 / $1,614.22 / $3,209.82	Professional		$1,146.75	$1,614.22	$3,209.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,425.72 / $4,933.00 / $4,933.00	Facility		$1,425.72	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,316.30 / $1,441.66 / $2,082.12	Professional		$1,316.30	$1,441.66	$2,082.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.35 / $1,026.61 / $1,605.35	Professional		$101.35	$1,026.61	$1,605.35
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 $1,305.23 / $1,757.89 / $2,302.00	Professional		$1,305.23	$1,757.89	$2,302.00