Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.70 / $4,112.00 / $4,933.00	Facility		$291.70	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.62 / $232.80 / $347.06	Professional		$200.62	$232.80	$347.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,086.78 / $1,275.56 / $1,728.19	Facility		$1,086.78	$1,275.56	$1,728.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.25 / $338.13 / $710.08	Professional		$64.25	$338.13	$710.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.72 / $274.07 / $474.31	Professional		$167.72	$274.07	$474.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $241.10 / $4,112.00 / $4,933.00	Facility		$241.10	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $224.95 / $257.08 / $394.15	Professional		$224.95	$257.08	$394.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $191.62 / $242.02 / $345.78	Professional		$191.62	$242.02	$345.78
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 $238.91 / $287.86 / $384.93	Professional		$238.91	$287.86	$384.93