Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,187.69 / $4,112.00 / $4,933.00	Facility		$1,187.69	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $916.30 / $1,187.69 / $1,730.63	Professional		$916.30	$1,187.69	$1,730.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,418.55 / $3,984.44 / $5,398.29	Facility		$3,418.55	$3,984.44	$5,398.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.40 / $918.31 / $1,609.23	Professional		$247.40	$918.31	$1,609.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $867.06 / $1,089.68 / $1,913.96	Professional		$867.06	$1,089.68	$1,913.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $950.97 / $4,112.00 / $4,933.00	Facility		$950.97	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $950.97 / $1,056.45 / $1,730.63	Professional		$950.97	$1,056.45	$1,730.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.78 / $801.75 / $1,203.79	Professional		$98.78	$801.75	$1,203.79
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,038.46 / $1,228.46 / $1,592.04	Professional		$1,038.46	$1,228.46	$1,592.04