Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,050.78 / $1,089.70 / $6,906.00	Facility		$1,050.78	$1,089.70	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $763.08 / $1,050.78 / $1,089.70	Professional		$763.08	$1,050.78	$1,089.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,073.82 / $3,582.65 / $4,853.92	Facility		$3,073.82	$3,582.65	$4,853.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.53 / $1,142.96 / $1,804.68	Professional		$204.53	$1,142.96	$1,804.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $586.09 / $785.10 / $1,486.12	Professional		$586.09	$785.10	$1,486.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $791.05 / $1,050.78 / $6,906.00	Facility		$791.05	$1,050.78	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $791.05 / $886.75 / $1,260.79	Professional		$791.05	$886.75	$1,260.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.35 / $562.67 / $893.30	Professional		$68.35	$562.67	$893.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,500.00 / $10,556.00	Facility		$2,500.00	$7,500.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $748.97 / $905.75 / $1,223.15	Professional		$748.97	$905.75	$1,223.15