Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,638.38 / $4,933.00 / $4,933.00	Facility		$1,638.38	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,028.32 / $1,290.36 / $1,701.40	Professional		$1,028.32	$1,290.36	$1,701.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,707.29 / $6,662.12 / $9,075.64	Facility		$5,707.29	$6,662.12	$9,075.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.45 / $1,115.64 / $2,776.07	Professional		$303.45	$1,115.64	$2,776.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,116.10 / $1,575.23 / $2,434.00	Professional		$1,116.10	$1,575.23	$2,434.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,362.11 / $4,933.00 / $4,933.00	Facility		$1,362.11	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,228.39 / $1,403.29 / $2,269.23	Professional		$1,228.39	$1,403.29	$2,269.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.81 / $1,039.24 / $1,615.05	Professional		$161.81	$1,039.24	$1,615.05
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 $1,324.44 / $1,516.02 / $2,062.42	Professional		$1,324.44	$1,516.02	$2,062.42