Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.93 / $2,877.00 / $4,933.00	Facility		$365.93	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.31 / $365.93 / $405.80	Professional		$235.31	$365.93	$405.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,001.57 / $1,522.82 / $3,609.15	Facility		$1,001.57	$1,522.82	$3,609.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.97 / $214.39 / $255.23	Professional		$193.97	$214.39	$255.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.59 / $243.59 / $243.59	Professional		$243.59	$243.59	$243.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $570.59 / $2,877.00 / $4,933.00	Facility		$570.59	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $247.34 / $365.93 / $466.97	Professional		$247.34	$365.93	$466.97
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 $402.40 / $536.75 / $721.11	Professional		$402.40	$536.75	$721.11