Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,269.11 / $4,933.00 / $4,933.00	Facility		$1,269.11	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $879.25 / $1,144.27 / $1,269.11	Professional		$879.25	$1,144.27	$1,269.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,603.34 / $5,327.54 / $7,355.19	Facility		$3,603.34	$5,327.54	$7,355.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.05 / $963.40 / $1,632.90	Professional		$262.05	$963.40	$1,632.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.15 / $1,200.42 / $2,315.91	Professional		$855.15	$1,200.42	$2,315.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,026.25 / $4,933.00 / $4,933.00	Facility		$1,026.25	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $978.66 / $1,071.85 / $1,545.54	Professional		$978.66	$1,071.85	$1,545.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.35 / $770.91 / $1,217.75	Professional		$68.35	$770.91	$1,217.75
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 $1,020.11 / $1,297.63 / $1,687.78	Professional		$1,020.11	$1,297.63	$1,687.78