Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,281.75 / $4,933.00 / $6,853.00	Facility		$1,281.75	$4,933.00	$6,853.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $952.50 / $1,281.75 / $1,388.56	Professional		$952.50	$1,281.75	$1,388.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.39 / $5,567.33 / $7,584.24	Facility		$4,769.39	$5,567.33	$7,584.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.70 / $1,622.92 / $2,556.10	Professional		$289.70	$1,622.92	$2,556.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.94 / $1,248.18 / $2,248.32	Professional		$776.94	$1,248.18	$2,248.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,118.92 / $4,933.00 / $6,853.00	Facility		$1,118.92	$4,933.00	$6,853.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,118.92 / $1,206.74 / $1,646.66	Professional		$1,118.92	$1,206.74	$1,646.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $823.51 / $1,310.64	Professional		$68.56	$823.51	$1,310.64
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,170.03 / $1,337.77 / $1,783.70	Professional		$1,170.03	$1,337.77	$1,783.70