Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,118.30 / $4,933.00 / $4,933.00	Facility		$1,118.30	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $821.94 / $1,118.30 / $1,118.30	Professional		$821.94	$1,118.30	$1,118.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,303.24 / $5,023.18 / $6,842.95	Facility		$4,303.24	$5,023.18	$6,842.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.73 / $1,384.58 / $2,472.46	Professional		$263.73	$1,384.58	$2,472.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.65 / $1,010.88 / $1,800.81	Professional		$816.65	$1,010.88	$1,800.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $892.10 / $4,933.00 / $4,933.00	Facility		$892.10	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $892.10 / $995.06 / $1,427.16	Professional		$892.10	$995.06	$1,427.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $767.99 / $1,156.45	Professional		$65.66	$767.99	$1,156.45
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 $965.43 / $1,161.81 / $1,523.68	Professional		$965.43	$1,161.81	$1,523.68