Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,618.36 / $4,933.00 / $4,933.00	Facility		$1,618.36	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,188.07 / $1,618.36 / $1,618.36	Professional		$1,188.07	$1,618.36	$1,618.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,024.54 / $7,032.46 / $9,580.14	Facility		$6,024.54	$7,032.46	$9,580.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.14 / $1,187.99 / $2,032.93	Professional		$323.14	$1,187.99	$2,032.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,179.16 / $1,473.59 / $2,606.61	Professional		$1,179.16	$1,473.59	$2,606.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,297.28 / $4,933.00 / $4,933.00	Facility		$1,297.28	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,297.28 / $1,436.64 / $2,078.59	Professional		$1,297.28	$1,436.64	$2,078.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.78 / $1,104.18 / $1,652.92	Professional		$98.78	$1,104.18	$1,652.92
United Facility/Professional Facility Modifier Low / Median / High Price $325.13 / $2,283.00 / $4,504.00	Facility		$325.13	$2,283.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,443.11 / $1,707.75 / $2,146.40	Professional		$1,443.11	$1,707.75	$2,146.40