Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,203.21 / $4,933.00 / $4,933.00	Facility		$2,203.21	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,536.33 / $2,203.21 / $2,295.02	Professional		$1,536.33	$2,203.21	$2,295.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,675.03 / $10,111.04 / $13,698.86	Facility		$8,675.03	$10,111.04	$13,698.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.13 / $1,906.12 / $3,290.27	Professional		$466.13	$1,906.12	$3,290.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,600.60 / $2,011.25 / $3,617.90	Professional		$1,600.60	$2,011.25	$3,617.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,815.06 / $4,933.00 / $4,933.00	Facility		$1,815.06	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,815.06 / $2,032.86 / $2,782.54	Professional		$1,815.06	$2,032.86	$2,782.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $227.81 / $1,495.05 / $2,313.76	Professional		$227.81	$1,495.05	$2,313.76
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 $1,910.22 / $2,298.09 / $3,053.90	Professional		$1,910.22	$2,298.09	$3,053.90