Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,015.84 / $4,933.00 / $4,933.00	Facility		$1,015.84	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.05 / $846.97 / $1,015.84	Professional		$690.05	$846.97	$1,015.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,815.00 / $4,161.97 / $5,746.02	Facility		$2,815.00	$4,161.97	$5,746.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.98 / $775.81 / $1,314.97	Professional		$200.98	$775.81	$1,314.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.20 / $943.79 / $1,785.36	Professional		$686.20	$943.79	$1,785.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $804.50 / $4,933.00 / $4,933.00	Facility		$804.50	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $752.70 / $847.71 / $1,240.71	Professional		$752.70	$847.71	$1,240.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $668.32 / $1,013.36	Professional		$65.50	$668.32	$1,013.36
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 $784.36 / $1,018.94 / $1,318.29	Professional		$784.36	$1,018.94	$1,318.29