Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.78 / $2,056.00 / $4,933.00	Facility		$85.78	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.93 / $194.30 / $272.49	Professional		$66.93	$194.30	$272.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,056.58 / $1,552.25 / $3,694.58	Facility		$1,056.58	$1,552.25	$3,694.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.35 / $52.77 / $90.30	Professional		$14.35	$52.77	$90.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.06 / $183.48 / $453.16	Professional		$83.06	$183.48	$453.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $272.49 / $2,056.00 / $4,933.00	Facility		$272.49	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $85.78 / $277.56 / $324.74	Professional		$85.78	$277.56	$324.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.70 / $238.43 / $341.35	Professional		$190.70	$238.43	$341.35
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $296.23 / $347.33 / $473.36	Professional		$296.23	$347.33	$473.36