Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.44 / $2,877.00 / $4,933.00	Facility		$210.44	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.94 / $210.44 / $277.70	Professional		$142.94	$210.44	$277.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $708.56 / $831.65 / $1,126.75	Facility		$708.56	$831.65	$1,126.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.31 / $288.13 / $451.86	Professional		$46.31	$288.13	$451.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $205.98 / $383.45	Professional		$141.88	$205.98	$383.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $190.74 / $2,877.00 / $4,933.00	Facility		$190.74	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $190.74 / $218.53 / $300.32	Professional		$190.74	$218.53	$300.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $153.84 / $264.36	Professional		$32.24	$153.84	$264.36
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.96 / $223.76 / $307.68	Professional		$178.96	$223.76	$307.68