Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.66 / $2,056.00 / $4,933.00	Facility		$300.66	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.93 / $300.66 / $316.27	Professional		$189.93	$300.66	$316.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,001.57 / $1,505.18 / $3,615.50	Facility		$1,001.57	$1,505.18	$3,615.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.67 / $190.85 / $227.20	Professional		$172.67	$190.85	$227.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.09 / $218.09 / $218.09	Professional		$218.09	$218.09	$218.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $570.59 / $2,056.00 / $4,933.00	Facility		$570.59	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $203.13 / $300.66 / $326.70	Professional		$203.13	$300.66	$326.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $4,857.00 / $6,036.00	Facility		$1,050.00	$4,857.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $313.62 / $407.82 / $576.01	Professional		$313.62	$407.82	$576.01