Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,488.39 / $4,933.00 / $4,933.00	Facility		$3,488.39	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,503.42 / $3,124.73 / $3,488.39	Professional		$2,503.42	$3,124.73	$3,488.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,253.62 / $15,160.01 / $20,321.56	Facility		$10,253.62	$15,160.01	$20,321.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $689.19 / $2,533.79 / $4,509.34	Professional		$689.19	$2,533.79	$4,509.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,525.40 / $3,364.16 / $6,900.44	Professional		$2,525.40	$3,364.16	$6,900.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,014.47 / $4,933.00 / $4,933.00	Facility		$3,014.47	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,694.06 / $3,014.47 / $4,359.67	Professional		$2,694.06	$3,014.47	$4,359.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $318.41 / $1,931.16 / $3,214.98	Professional		$318.41	$1,931.16	$3,214.98
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 $2,821.61 / $3,720.82 / $4,860.63	Professional		$2,821.61	$3,720.82	$4,860.63