Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,564.28 / $4,933.00 / $4,933.00	Facility		$1,564.28	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.14 / $1,564.28 / $2,512.55	Professional		$863.14	$1,564.28	$2,512.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,668.25 / $6,616.55 / $9,013.56	Facility		$5,668.25	$6,616.55	$9,013.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.29 / $1,069.69 / $2,796.27	Professional		$342.29	$1,069.69	$2,796.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $979.66 / $1,401.80 / $2,334.96	Professional		$979.66	$1,401.80	$2,334.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,012.22 / $4,933.00 / $4,933.00	Facility		$1,012.22	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,012.22 / $1,265.27 / $2,276.38	Professional		$1,012.22	$1,265.27	$2,276.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.81 / $1,019.39 / $1,573.73	Professional		$161.81	$1,019.39	$1,573.73
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 $1,028.27 / $1,396.76 / $1,997.08	Professional		$1,028.27	$1,396.76	$1,997.08