Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.82 / $2,056.00 / $4,933.00	Facility		$217.82	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.75 / $217.82 / $238.96	Professional		$151.75	$217.82	$238.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $771.37 / $1,152.40 / $2,638.60	Facility		$771.37	$1,152.40	$2,638.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.35 / $55.41 / $93.91	Professional		$14.35	$55.41	$93.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.28 / $297.83 / $383.24	Professional		$152.28	$297.83	$383.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,056.00 / $2,056.00 / $4,933.00	Facility		$2,056.00	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $168.28 / $217.82 / $326.35	Professional		$168.28	$217.82	$326.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
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 $205.94 / $319.14 / $438.83	Professional		$205.94	$319.14	$438.83