Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.90 / $2,056.00 / $4,933.00	Facility		$105.90	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $243.54 / $748.79	Professional		$80.06	$243.54	$748.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,046.13 / $2,388.44 / $3,253.72	Facility		$2,046.13	$2,388.44	$3,253.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $138.04 / $289.23	Professional		$22.35	$138.04	$289.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.19 / $257.38 / $1,078.14	Professional		$96.19	$257.38	$1,078.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $776.21 / $2,056.00 / $4,933.00	Facility		$776.21	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $105.90 / $708.17 / $957.61	Professional		$105.90	$708.17	$957.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $461.79 / $576.14 / $831.23	Professional		$461.79	$576.14	$831.23
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 $777.69 / $933.72 / $1,270.48	Professional		$777.69	$933.72	$1,270.48