Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,747.85 / $4,933.00 / $6,853.00	Facility		$1,747.85	$4,933.00	$6,853.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,090.97 / $1,649.95 / $1,747.85	Professional		$1,090.97	$1,649.95	$1,747.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $684.75 / $1,005.78 / $2,248.29	Facility		$684.75	$1,005.78	$2,248.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.82 / $423.72 / $2,028.25	Professional		$321.82	$423.72	$2,028.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.59 / $1,816.17 / $2,626.51	Professional		$1,172.59	$1,816.17	$2,626.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,442.13 / $4,933.00 / $6,853.00	Facility		$1,442.13	$4,933.00	$6,853.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,383.40 / $1,489.30 / $1,936.76	Professional		$1,383.40	$1,489.30	$1,936.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,078.80 / $1,355.96 / $2,014.48	Professional		$1,078.80	$1,355.96	$2,014.48
United Facility/Professional Facility Modifier Low / Median / High Price $7,489.00 / $11,732.00 / $15,469.00	Facility		$7,489.00	$11,732.00	$15,469.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,460.06 / $1,674.70 / $2,349.06	Professional		$1,460.06	$1,674.70	$2,349.06