Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,752.51 / $4,933.00 / $4,933.00	Facility		$1,752.51	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,204.51 / $1,583.44 / $1,752.51	Professional		$1,204.51	$1,583.44	$1,752.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,205.93 / $7,368.79 / $10,120.86	Facility		$6,205.93	$7,368.79	$10,120.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.00 / $1,414.88 / $2,263.81	Professional		$346.00	$1,414.88	$2,263.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,189.41 / $1,660.17 / $3,152.57	Professional		$1,189.41	$1,660.17	$3,152.57
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,409.16 / $4,933.00 / $4,933.00	Facility		$1,409.16	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,362.36 / $1,521.21 / $2,146.89	Professional		$1,362.36	$1,521.21	$2,146.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.25 / $1,176.84 / $1,776.69	Professional		$130.25	$1,176.84	$1,776.69
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 $1,389.66 / $1,781.12 / $2,491.06	Professional		$1,389.66	$1,781.12	$2,491.06