Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,697.84 / $4,933.00 / $4,933.00	Facility		$1,697.84	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,165.88 / $1,535.02 / $1,697.84	Professional		$1,165.88	$1,535.02	$1,697.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,798.55 / $7,094.66 / $9,794.87	Facility		$4,798.55	$7,094.66	$9,794.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.50 / $1,417.74 / $2,194.02	Professional		$394.50	$1,417.74	$2,194.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,153.00 / $1,608.74 / $3,051.21	Professional		$1,153.00	$1,608.74	$3,051.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,363.72 / $4,933.00 / $4,933.00	Facility		$1,363.72	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,319.77 / $1,473.00 / $2,079.98	Professional		$1,319.77	$1,473.00	$2,079.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.35 / $1,024.60 / $1,607.88	Professional		$101.35	$1,024.60	$1,607.88
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 $1,352.25 / $1,667.33 / $2,204.76	Professional		$1,352.25	$1,667.33	$2,204.76