Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.00 / $2,056.00 / $4,933.00	Facility		$247.00	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.28 / $247.00 / $256.50	Professional		$173.28	$247.00	$256.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,125.56 / $1,321.08 / $1,789.85	Facility		$1,125.56	$1,321.08	$1,789.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.22 / $225.96 / $474.51	Professional		$51.22	$225.96	$474.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.56 / $220.47 / $413.17	Professional		$145.56	$220.47	$413.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $187.69 / $2,056.00 / $4,933.00	Facility		$187.69	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $187.69 / $212.27 / $304.18	Professional		$187.69	$212.27	$304.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $153.09 / $236.61	Professional		$32.13	$153.09	$236.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,640.00 / $6,327.00	Facility		$1,050.00	$3,640.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.87 / $219.45 / $300.27	Professional		$177.87	$219.45	$300.27