Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,502.46 / $4,933.00 / $4,933.00	Facility		$1,502.46	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,102.58 / $1,502.46 / $1,502.46	Professional		$1,102.58	$1,502.46	$1,502.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,824.43 / $6,798.86 / $9,261.92	Facility		$5,824.43	$6,798.86	$9,261.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.72 / $1,489.09 / $2,779.63	Professional		$333.72	$1,489.09	$2,779.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.52 / $1,367.40 / $2,418.51	Professional		$1,094.52	$1,367.40	$2,418.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,232.58 / $4,933.00 / $4,933.00	Facility		$1,232.58	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,232.58 / $1,334.43 / $1,940.57	Professional		$1,232.58	$1,334.43	$1,940.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.78 / $1,017.62 / $1,540.13	Professional		$98.78	$1,017.62	$1,540.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $4,056.00 / $6,036.00	Facility		$1,713.00	$4,056.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,325.75 / $1,587.70 / $2,081.06	Professional		$1,325.75	$1,587.70	$2,081.06