Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,009.55 / $2,877.00 / $4,933.00	Facility		$1,009.55	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.16 / $1,009.55 / $1,009.55	Professional		$742.16	$1,009.55	$1,009.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,071.96 / $4,753.21 / $6,475.17	Facility		$4,071.96	$4,753.21	$6,475.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.52 / $781.39 / $1,238.31	Professional		$210.52	$781.39	$1,238.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $737.13 / $917.20 / $1,626.24	Professional		$737.13	$917.20	$1,626.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $804.06 / $2,877.00 / $4,933.00	Facility		$804.06	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $804.06 / $898.30 / $1,305.92	Professional		$804.06	$898.30	$1,305.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $700.20 / $1,052.30	Professional		$65.66	$700.20	$1,052.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,054.00 / $6,873.00 / $8,911.00	Facility		$3,054.00	$6,873.00	$8,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $883.42 / $1,042.33 / $1,343.43	Professional		$883.42	$1,042.33	$1,343.43