Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,088.98 / $4,933.00 / $4,933.00	Facility		$2,088.98	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,370.45 / $2,025.70 / $2,451.63	Professional		$1,370.45	$2,025.70	$2,451.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,529.48 / $8,837.40 / $11,973.27	Facility		$7,529.48	$8,837.40	$11,973.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.74 / $1,634.62 / $2,980.45	Professional		$432.74	$1,634.62	$2,980.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,216.28 / $1,829.87 / $3,420.92	Professional		$1,216.28	$1,829.87	$3,420.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,735.26 / $2,088.98 / $4,933.00	Facility		$1,735.26	$2,088.98	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,644.63 / $1,879.58 / $2,688.11	Professional		$1,644.63	$1,879.58	$2,688.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.32 / $1,175.27 / $1,948.09	Professional		$162.32	$1,175.27	$1,948.09
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,327.00	Facility		$850.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,616.85 / $1,884.73 / $2,624.86	Professional		$1,616.85	$1,884.73	$2,624.86