Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $990.70 / $4,933.00 / $5,757.00	Facility		$990.70	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $683.13 / $898.57 / $990.70	Professional		$683.13	$898.57	$990.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,934.25 / $5,816.79 / $8,030.65	Facility		$3,934.25	$5,816.79	$8,030.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.83 / $723.63 / $1,238.85	Professional		$196.83	$723.63	$1,238.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $708.54 / $960.34 / $1,830.10	Professional		$708.54	$960.34	$1,830.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $795.07 / $4,933.00 / $5,757.00	Facility		$795.07	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $773.24 / $846.88 / $1,216.56	Professional		$773.24	$846.88	$1,216.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.35 / $568.30 / $927.39	Professional		$68.35	$568.30	$927.39
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 $802.44 / $1,005.53 / $1,307.76	Professional		$802.44	$1,005.53	$1,307.76