Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.58 / $4,933.00 / $6,853.00	Facility		$1,093.58	$4,933.00	$6,853.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $799.44 / $985.75 / $1,139.16	Professional		$799.44	$985.75	$1,139.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,161.71 / $4,857.97 / $6,617.89	Facility		$4,161.71	$4,857.97	$6,617.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.05 / $1,159.25 / $1,580.02	Professional		$261.05	$1,159.25	$1,580.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.23 / $1,002.81 / $1,884.75	Professional		$815.23	$1,002.81	$1,884.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $954.56 / $4,933.00 / $6,853.00	Facility		$954.56	$4,933.00	$6,853.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $911.30 / $954.56 / $1,430.46	Professional		$911.30	$954.56	$1,430.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.78 / $763.16 / $1,164.49	Professional		$98.78	$763.16	$1,164.49
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 $1,006.47 / $1,197.69 / $1,505.56	Professional		$1,006.47	$1,197.69	$1,505.56