Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,134.43 / $4,933.00 / $4,933.00	Facility		$1,134.43	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.82 / $1,134.43 / $1,143.97	Professional		$738.82	$1,134.43	$1,143.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,373.20 / $5,104.85 / $6,954.20	Facility		$4,373.20	$5,104.85	$6,954.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.42 / $781.95 / $1,586.38	Professional		$279.42	$781.95	$1,586.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $841.85 / $967.20 / $1,882.32	Professional		$841.85	$967.20	$1,882.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $827.45 / $4,933.00 / $4,933.00	Facility		$827.45	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $827.45 / $968.11 / $1,397.04	Professional		$827.45	$968.11	$1,397.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.76 / $697.69 / $1,141.68	Professional		$194.76	$697.69	$1,141.68
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 $950.97 / $1,151.46 / $1,550.92	Professional		$950.97	$1,151.46	$1,550.92