Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,504.81 / $4,933.00 / $4,933.00	Facility		$1,504.81	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,034.55 / $1,353.47 / $1,504.81	Professional		$1,034.55	$1,353.47	$1,504.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,264.96 / $6,305.75 / $8,452.68	Facility		$4,264.96	$6,305.75	$8,452.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.99 / $1,402.31 / $1,874.75	Professional		$297.99	$1,402.31	$1,874.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $993.47 / $1,402.87 / $2,695.09	Professional		$993.47	$1,402.87	$2,695.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,206.17 / $4,933.00 / $4,933.00	Facility		$1,206.17	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,171.51 / $1,283.08 / $1,841.89	Professional		$1,171.51	$1,283.08	$1,841.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.23 / $1,023.59 / $1,541.17	Professional		$98.23	$1,023.59	$1,541.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $4,857.00 / $6,036.00	Facility		$1,050.00	$4,857.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,192.15 / $1,524.07 / $1,937.86	Professional		$1,192.15	$1,524.07	$1,937.86