Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.22 / $2,686.40 / $5,087.78	Facility		$229.22	$2,686.40	$5,087.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,620.21 / $2,868.97	Professional		$2,608.16	$2,620.21	$2,868.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,029.92 / $5,688.61 / $10,839.37	Facility		$3,029.92	$5,688.61	$10,839.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,524.48 / $2,763.65 / $3,587.44	Professional		$2,524.48	$2,763.65	$3,587.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $3,075.66	Professional		$2,608.16	$2,608.16	$3,075.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $229.22 / $3,541.54 / $7,290.73	Facility		$229.22	$3,541.54	$7,290.73
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,620.21 / $3,260.20	Professional		$2,608.16	$2,620.21	$3,260.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,543.89 / $2,798.27 / $3,815.83	Professional		$2,543.89	$2,798.27	$3,815.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.43 / $2,673.43 / $2,673.43	Facility		$2,673.43	$2,673.43	$2,673.43
United Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,903.43 / $3,338.94	Professional		$2,608.16	$2,903.43	$3,338.94