Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,533.25 / $4,933.00 / $4,933.00	Facility		$1,533.25	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,115.67 / $1,533.25 / $1,533.25	Professional		$1,115.67	$1,533.25	$1,533.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,647.10 / $6,591.87 / $8,979.94	Facility		$5,647.10	$6,591.87	$8,979.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.36 / $1,837.50 / $2,782.76	Professional		$300.36	$1,837.50	$2,782.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,113.77 / $1,384.99 / $2,445.62	Professional		$1,113.77	$1,384.99	$2,445.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,217.56 / $4,933.00 / $4,933.00	Facility		$1,217.56	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,217.56 / $1,335.92 / $1,936.17	Professional		$1,217.56	$1,335.92	$1,936.17
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 $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,309.77 / $1,589.47 / $2,060.44	Professional		$1,309.77	$1,589.47	$2,060.44