Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,984.25 / $4,933.00 / $4,933.00	Facility		$2,984.25	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,054.04 / $2,671.03 / $2,984.25	Professional		$2,054.04	$2,671.03	$2,984.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,498.21 / $12,564.63 / $17,346.71	Facility		$8,498.21	$12,564.63	$17,346.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.74 / $2,263.09 / $3,835.79	Professional		$650.74	$2,263.09	$3,835.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,979.39 / $2,849.89 / $5,461.19	Professional		$1,979.39	$2,849.89	$5,461.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,418.12 / $4,933.00 / $4,933.00	Facility		$2,418.12	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,318.36 / $2,539.94 / $3,661.50	Professional		$2,318.36	$2,539.94	$3,661.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $226.26 / $1,968.71 / $2,972.55	Professional		$226.26	$1,968.71	$2,972.55
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 $2,311.50 / $3,041.45 / $3,893.06	Professional		$2,311.50	$3,041.45	$3,893.06