Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.76 / $2,056.00 / $4,933.00	Facility		$213.76	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $221.98 / $402.44	Professional		$155.47	$221.98	$402.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,307.00 / $1,534.04 / $2,078.38	Facility		$1,307.00	$1,534.04	$2,078.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.87 / $258.45 / $445.83	Professional		$48.87	$258.45	$445.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.56 / $277.83 / $534.89	Professional		$163.56	$277.83	$534.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $249.99 / $2,056.00 / $4,933.00	Facility		$249.99	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $221.98 / $282.20 / $428.11	Professional		$221.98	$282.20	$428.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $252.71 / $378.08	Professional		$30.66	$252.71	$378.08
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 $266.66 / $316.48 / $441.47	Professional		$266.66	$316.48	$441.47