Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,136.89 / $4,933.00 / $4,933.00	Facility		$1,136.89	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $752.07 / $1,136.89 / $1,180.61	Professional		$752.07	$1,136.89	$1,180.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,968.09 / $4,624.95 / $6,266.07	Facility		$3,968.09	$4,624.95	$6,266.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.71 / $927.10 / $2,600.51	Professional		$226.71	$927.10	$2,600.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $777.25 / $1,101.98 / $1,694.40	Professional		$777.25	$1,101.98	$1,694.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $941.17 / $4,933.00 / $4,933.00	Facility		$941.17	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $941.17 / $1,023.72 / $1,468.12	Professional		$941.17	$1,023.72	$1,468.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.74 / $739.21 / $1,139.55	Professional		$97.74	$739.21	$1,139.55
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 $947.43 / $1,091.65 / $1,492.50	Professional		$947.43	$1,091.65	$1,492.50