Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,326.13 / $2,326.13 / $3,628.76	Facility		$2,326.13	$2,326.13	$3,628.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,813.14 / $2,289.40 / $2,326.13	Professional		$1,813.14	$2,289.40	$2,326.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,986.27 / $2,769.69 / $4,864.49	Facility		$1,986.27	$2,769.69	$4,864.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,744.60 / $1,836.42 / $1,964.97	Professional		$1,744.60	$1,836.42	$1,964.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.77 / $1,327.97 / $3,406.73	Professional		$1,066.77	$1,327.97	$3,406.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,326.13 / $2,326.13 / $4,274.26	Facility		$2,326.13	$2,326.13	$4,274.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,289.40 / $2,350.62 / $2,938.27	Professional		$2,289.40	$2,350.62	$2,938.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,448.56 / $2,448.56 / $2,938.27	Facility		$2,448.56	$2,448.56	$2,938.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.40 / $1,469.14 / $2,448.56	Professional		$1,028.40	$1,469.14	$2,448.56