Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,009.32 / $4,933.00 / $5,757.00	Facility		$1,009.32	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $701.82 / $1,009.32 / $1,046.70	Professional		$701.82	$1,009.32	$1,046.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,395.91 / $2,794.75 / $3,767.54	Facility		$2,395.91	$2,794.75	$3,767.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.23 / $1,705.98 / $3,406.65	Professional		$403.23	$1,705.98	$3,406.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $580.42 / $755.05 / $956.29	Professional		$580.42	$755.05	$956.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $709.99 / $4,933.00 / $5,757.00	Facility		$709.99	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $709.99 / $872.24 / $1,184.14	Professional		$709.99	$872.24	$1,184.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,708.00 / $8,884.00	Facility		$1,450.00	$5,708.00	$8,884.00
United Facility/Professional Professional Modifier Low / Median / High Price $710.11 / $861.79 / $1,196.98	Professional		$710.11	$861.79	$1,196.98