Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,213.17 / $4,933.00 / $4,933.00	Facility		$2,213.17	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,519.44 / $1,860.61 / $2,213.17	Professional		$1,519.44	$1,860.61	$2,213.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,221.90 / $9,199.09 / $12,331.12	Facility		$6,221.90	$9,199.09	$12,331.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.52 / $1,682.04 / $2,742.53	Professional		$457.52	$1,682.04	$2,742.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,505.96 / $2,100.42 / $4,057.40	Professional		$1,505.96	$2,100.42	$4,057.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,786.72 / $4,933.00 / $4,933.00	Facility		$1,786.72	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,718.68 / $1,885.28 / $2,714.73	Professional		$1,718.68	$1,885.28	$2,714.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.07 / $1,330.41 / $2,093.58	Professional		$163.07	$1,330.41	$2,093.58
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 $1,750.65 / $2,286.66 / $2,960.14	Professional		$1,750.65	$2,286.66	$2,960.14