Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,777.86 / $4,933.00 / $6,853.00	Facility		$1,777.86	$4,933.00	$6,853.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,324.24 / $1,777.86 / $1,926.02	Professional		$1,324.24	$1,777.86	$1,926.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,646.85 / $5,424.27 / $7,389.35	Facility		$4,646.85	$5,424.27	$7,389.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.21 / $2,242.41 / $3,741.35	Professional		$381.21	$2,242.41	$3,741.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,079.08 / $1,793.94 / $3,093.65	Professional		$1,079.08	$1,793.94	$3,093.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,589.57 / $4,933.00 / $6,853.00	Facility		$1,589.57	$4,933.00	$6,853.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,589.57 / $1,682.34 / $2,284.02	Professional		$1,589.57	$1,682.34	$2,284.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.57 / $1,149.21 / $1,800.56	Professional		$103.57	$1,149.21	$1,800.56
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 $1,591.39 / $1,879.50 / $2,538.14	Professional		$1,591.39	$1,879.50	$2,538.14