Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,784.38 / $4,933.00 / $4,933.00	Facility		$1,784.38	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,217.17 / $1,611.68 / $1,844.42	Professional		$1,217.17	$1,611.68	$1,844.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,036.82 / $7,446.96 / $10,281.26	Facility		$5,036.82	$7,446.96	$10,281.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.79 / $1,709.07 / $2,320.19	Professional		$369.79	$1,709.07	$2,320.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,196.91 / $1,690.00 / $3,236.15	Professional		$1,196.91	$1,690.00	$3,236.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,418.17 / $4,933.00 / $4,933.00	Facility		$1,418.17	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,386.91 / $1,549.81 / $2,256.42	Professional		$1,386.91	$1,549.81	$2,256.42
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 $1,412.89 / $1,819.72 / $2,481.57	Professional		$1,412.89	$1,819.72	$2,481.57