Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.81 / $4,933.00 / $4,933.00	Facility		$161.81	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $161.81 / $161.81	Professional		$84.00	$161.81	$161.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,380.63 / $4,380.63 / $4,380.63	Facility		$4,380.63	$4,380.63	$4,380.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,161.60 / $4,555.85 / $5,913.85	Professional		$4,161.60	$4,555.85	$5,913.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.17 / $251.17 / $285.43	Professional		$251.17	$251.17	$285.43
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $149.84 / $4,933.00 / $4,933.00	Facility		$149.84	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $149.84 / $161.81 / $334.04	Professional		$149.84	$161.81	$334.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
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 $172.70 / $194.47 / $262.58	Professional		$172.70	$194.47	$262.58