Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,392.04 / $4,933.00 / $4,933.00	Facility		$1,392.04	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $978.30 / $1,392.04 / $1,450.04	Professional		$978.30	$1,392.04	$1,450.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,524.50 / $6,439.00 / $8,723.82	Facility		$5,524.50	$6,439.00	$8,723.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.25 / $1,128.55 / $2,347.38	Professional		$319.25	$1,128.55	$2,347.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,036.92 / $1,270.15 / $2,390.84	Professional		$1,036.92	$1,270.15	$2,390.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,193.14 / $4,933.00 / $4,933.00	Facility		$1,193.14	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,193.14 / $1,291.33 / $1,776.41	Professional		$1,193.14	$1,291.33	$1,776.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.17 / $875.15 / $1,429.61	Professional		$134.17	$875.15	$1,429.61
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,849.00 / $9,202.00	Facility		$3,296.00	$7,849.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,276.28 / $1,517.73 / $1,944.80	Professional		$1,276.28	$1,517.73	$1,944.80