Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,971.61 / $4,933.00 / $4,933.00	Facility		$1,971.61	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,399.18 / $1,710.60 / $1,971.61	Professional		$1,399.18	$1,710.60	$1,971.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,469.04 / $8,085.99 / $11,163.50	Facility		$5,469.04	$8,085.99	$11,163.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.91 / $1,542.53 / $2,513.75	Professional		$407.91	$1,542.53	$2,513.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,338.81 / $1,886.63 / $3,762.57	Professional		$1,338.81	$1,886.63	$3,762.57
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,534.77 / $4,933.00 / $4,933.00	Facility		$1,534.77	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,533.54 / $1,679.59 / $2,415.46	Professional		$1,533.54	$1,679.59	$2,415.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.18 / $1,175.40 / $1,888.63	Professional		$133.18	$1,175.40	$1,888.63
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,522.60 / $2,033.02 / $2,615.46	Professional		$1,522.60	$2,033.02	$2,615.46