Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $994.65 / $4,933.00 / $4,933.00	Facility		$994.65	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.16 / $994.65 / $1,036.09	Professional		$698.16	$994.65	$1,036.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,868.83 / $4,516.09 / $6,152.15	Facility		$3,868.83	$4,516.09	$6,152.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.32 / $1,053.78 / $1,389.19	Professional		$212.32	$1,053.78	$1,389.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $742.24 / $908.55 / $1,713.34	Professional		$742.24	$908.55	$1,713.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $862.25 / $4,933.00 / $4,933.00	Facility		$862.25	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $862.25 / $923.15 / $1,295.13	Professional		$862.25	$923.15	$1,295.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.78 / $667.79 / $1,016.62	Professional		$98.78	$667.79	$1,016.62
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 $899.57 / $1,085.07 / $1,370.64	Professional		$899.57	$1,085.07	$1,370.64