Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.75 / $2,056.00 / $4,933.00	Facility		$306.75	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.11 / $306.75 / $321.88	Professional		$215.11	$306.75	$321.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,394.84 / $1,637.13 / $2,218.06	Facility		$1,394.84	$1,637.13	$2,218.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $379.46 / $654.57	Professional		$72.09	$379.46	$654.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.51 / $267.51 / $514.15	Professional		$182.51	$267.51	$514.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $228.40 / $2,056.00 / $4,933.00	Facility		$228.40	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $228.40 / $270.88 / $393.95	Professional		$228.40	$270.88	$393.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $184.05 / $281.49	Professional		$32.13	$184.05	$281.49
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 $220.87 / $270.44 / $386.96	Professional		$220.87	$270.44	$386.96