Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,033.19 / $4,933.00 / $4,933.00	Facility		$3,033.19	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,017.53 / $2,936.19 / $3,511.51	Professional		$2,017.53	$2,936.19	$3,511.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,741.05 / $12,606.83 / $17,080.25	Facility		$10,741.05	$12,606.83	$17,080.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $591.26 / $2,514.41 / $4,177.79	Professional		$591.26	$2,514.41	$4,177.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,769.76 / $2,581.31 / $4,938.39	Professional		$1,769.76	$2,581.31	$4,938.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,451.21 / $3,033.19 / $4,933.00	Facility		$2,451.21	$3,033.19	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,348.03 / $2,724.07 / $3,911.65	Professional		$2,348.03	$2,724.07	$3,911.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $292.53 / $1,920.01 / $2,974.08	Professional		$292.53	$1,920.01	$2,974.08
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 $2,293.50 / $2,695.73 / $3,806.10	Professional		$2,293.50	$2,695.73	$3,806.10