Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,124.06 / $1,133.51 / $1,133.51	Facility		$1,124.06	$1,133.51	$1,133.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.63 / $1,124.06 / $1,133.51	Professional		$776.63	$1,124.06	$1,133.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,418.77 / $5,158.04 / $7,026.66	Facility		$4,418.77	$5,158.04	$7,026.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.13 / $988.35 / $1,791.42	Professional		$296.13	$988.35	$1,791.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $865.18 / $1,149.91 / $1,846.01	Professional		$865.18	$1,149.91	$1,846.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,133.51 / $1,597.89 / $1,597.89	Facility		$1,133.51	$1,597.89	$1,597.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,039.21 / $1,597.89 / $1,745.52	Professional		$1,039.21	$1,597.89	$1,745.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $761.10 / $975.71 / $1,420.48	Professional		$761.10	$975.71	$1,420.48
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 $1,004.06 / $1,191.73 / $1,573.90	Professional		$1,004.06	$1,191.73	$1,573.90