Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.01 / $2,056.00 / $4,933.00	Facility		$212.01	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.94 / $217.93 / $389.37	Professional		$137.94	$217.93	$389.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $871.06 / $1,022.36 / $1,385.14	Facility		$871.06	$1,022.36	$1,385.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.86 / $256.95 / $428.72	Professional		$45.86	$256.95	$428.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.27 / $251.42 / $508.81	Professional		$162.27	$251.42	$508.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $237.91 / $2,056.00 / $4,933.00	Facility		$237.91	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $212.01 / $273.33 / $389.37	Professional		$212.01	$273.33	$389.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.06 / $247.12 / $373.58	Professional		$32.06	$247.12	$373.58
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $237.91 / $291.62 / $440.70	Professional		$237.91	$291.62	$440.70