Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,370.52 / $4,112.00 / $4,933.00	Facility		$1,370.52	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $995.24 / $1,370.52 / $1,421.28	Professional		$995.24	$1,370.52	$1,421.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,183.63 / $3,710.63 / $5,027.31	Facility		$3,183.63	$3,710.63	$5,027.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.42 / $1,322.28 / $2,350.71	Professional		$266.42	$1,322.28	$2,350.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $764.53 / $1,008.26 / $1,940.82	Professional		$764.53	$1,008.26	$1,940.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,042.14 / $4,112.00 / $4,933.00	Facility		$1,042.14	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,034.39 / $1,154.71 / $1,611.45	Professional		$1,034.39	$1,154.71	$1,611.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.73 / $722.34 / $1,165.64	Professional		$102.73	$722.34	$1,165.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $6,649.00 / $9,202.00	Facility		$2,500.00	$6,649.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $985.22 / $1,178.11 / $1,575.68	Professional		$985.22	$1,178.11	$1,575.68