Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $944.10 / $4,933.00 / $4,933.00	Facility		$944.10	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.43 / $944.10 / $983.44	Professional		$663.43	$944.10	$983.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,940.22 / $4,592.47 / $6,222.06	Facility		$3,940.22	$4,592.47	$6,222.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.83 / $771.35 / $1,483.36	Professional		$211.83	$771.35	$1,483.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.18 / $861.40 / $1,626.56	Professional		$705.18	$861.40	$1,626.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $817.34 / $4,933.00 / $4,933.00	Facility		$817.34	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $817.34 / $876.49 / $1,225.17	Professional		$817.34	$876.49	$1,225.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.78 / $638.25 / $967.78	Professional		$98.78	$638.25	$967.78
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 $865.50 / $1,040.55 / $1,350.77	Professional		$865.50	$1,040.55	$1,350.77