Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,117.64 / $5,323.28 / $15,967.00	Facility		$5,117.64	$5,323.28	$15,967.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,117.64 / $5,323.28 / $6,011.98	Professional		$5,117.64	$5,323.28	$6,011.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,388.92 / $11,509.33 / $21,772.26	Facility		$6,388.92	$11,509.33	$21,772.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,002.45 / $5,265.74 / $5,265.74	Professional		$5,002.45	$5,265.74	$5,265.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $634.92 / $5,168.22 / $5,168.22	Professional		$634.92	$5,168.22	$5,168.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5,117.64 / $6,397.05 / $14,239.80	Facility		$5,117.64	$6,397.05	$14,239.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5,117.64 / $5,168.22 / $6,201.87	Professional		$5,117.64	$5,168.22	$6,201.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,713.86 / $5,713.86 / $5,943.46	Professional		$5,713.86	$5,713.86	$5,943.46
United Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $5,272.11	Professional		$5,168.22	$5,168.22	$5,272.11