Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.48 / $4,112.00 / $4,933.00	Facility		$167.48	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.93 / $182.44 / $316.02	Professional		$120.93	$182.44	$316.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,672.06 / $3,119.10 / $4,249.08	Facility		$2,672.06	$3,119.10	$4,249.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.13 / $181.09 / $358.10	Professional		$40.13	$181.09	$358.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.66 / $264.79 / $465.55	Professional		$151.66	$264.79	$465.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $281.68 / $4,112.00 / $4,933.00	Facility		$281.68	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $167.48 / $281.68 / $375.54	Professional		$167.48	$281.68	$375.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $217.42 / $271.47 / $395.92	Professional		$217.42	$271.47	$395.92
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,849.00 / $9,202.00	Facility		$3,296.00	$7,849.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $237.91 / $334.51 / $464.99	Professional		$237.91	$334.51	$464.99