Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,493.93 / $4,933.00 / $4,933.00	Facility		$1,493.93	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,022.57 / $1,354.42 / $1,493.93	Professional		$1,022.57	$1,354.42	$1,493.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,190.16 / $6,195.16 / $8,553.02	Facility		$4,190.16	$6,195.16	$8,553.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.22 / $1,651.05 / $1,998.64	Professional		$310.22	$1,651.05	$1,998.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,012.35 / $1,408.86 / $2,674.16	Professional		$1,012.35	$1,408.86	$2,674.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,195.75 / $4,933.00 / $4,933.00	Facility		$1,195.75	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,161.17 / $1,298.46 / $1,828.61	Professional		$1,161.17	$1,298.46	$1,828.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.23 / $1,012.96 / $1,533.20	Professional		$98.23	$1,012.96	$1,533.20
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 $1,182.95 / $1,511.69 / $1,946.53	Professional		$1,182.95	$1,511.69	$1,946.53