Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.84 / $4,933.00 / $4,933.00	Facility		$887.84	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.41 / $887.84 / $887.84	Professional		$653.41	$887.84	$887.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,279.91 / $3,828.64 / $5,215.66	Facility		$3,279.91	$3,828.64	$5,215.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.76 / $1,050.74 / $2,048.96	Professional		$185.76	$1,050.74	$2,048.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $649.85 / $840.48 / $1,485.39	Professional		$649.85	$840.48	$1,485.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $702.75 / $4,933.00 / $4,933.00	Facility		$702.75	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $702.75 / $791.32 / $1,134.85	Professional		$702.75	$791.32	$1,134.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $594.10 / $888.43	Professional		$65.66	$594.10	$888.43
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 $767.69 / $944.97 / $1,293.71	Professional		$767.69	$944.97	$1,293.71