Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,086.83 / $4,933.00 / $4,933.00	Facility		$2,086.83	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,530.92 / $2,086.83 / $2,086.83	Professional		$1,530.92	$2,086.83	$2,086.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,799.56 / $9,104.43 / $12,402.74	Facility		$7,799.56	$9,104.43	$12,402.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.17 / $2,722.99 / $4,773.74	Professional		$416.17	$2,722.99	$4,773.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,519.37 / $1,917.13 / $3,360.33	Professional		$1,519.37	$1,917.13	$3,360.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,686.02 / $4,933.00 / $4,933.00	Facility		$1,686.02	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,686.02 / $1,852.29 / $2,688.42	Professional		$1,686.02	$1,852.29	$2,688.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.47 / $1,288.53 / $2,017.17	Professional		$103.47	$1,288.53	$2,017.17
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 $1,862.80 / $2,242.05 / $2,978.38	Professional		$1,862.80	$2,242.05	$2,978.38