Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,935.16 / $4,933.00 / $4,933.00	Facility		$2,935.16	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,873.00 / $2,510.15 / $3,048.05	Professional		$1,873.00	$2,510.15	$3,048.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,786.60 / $12,591.21 / $17,152.68	Facility		$10,786.60	$12,591.21	$17,152.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $681.54 / $2,875.23 / $4,089.22	Professional		$681.54	$2,875.23	$4,089.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,987.13 / $2,790.72 / $4,342.38	Professional		$1,987.13	$2,790.72	$4,342.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,475.41 / $4,933.00 / $4,933.00	Facility		$2,475.41	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,475.41 / $2,526.11 / $3,448.43	Professional		$2,475.41	$2,526.11	$3,448.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $234.91 / $1,658.11 / $2,766.43	Professional		$234.91	$1,658.11	$2,766.43
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 $2,461.08 / $2,836.51 / $3,857.66	Professional		$2,461.08	$2,836.51	$3,857.66