Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.77 / $4,112.00 / $4,933.00	Facility		$227.77	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.13 / $290.72 / $419.91	Professional		$175.13	$290.72	$419.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,313.97 / $6,237.04 / $8,450.20	Facility		$5,313.97	$6,237.04	$8,450.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $277.87 / $450.15	Professional		$47.24	$277.87	$450.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.57 / $311.66 / $587.35	Professional		$176.57	$311.66	$587.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $356.58 / $4,112.00 / $4,933.00	Facility		$356.58	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $236.53 / $356.58 / $514.95	Professional		$236.53	$356.58	$514.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.77 / $223.96 / $377.45	Professional		$33.77	$223.96	$377.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,806.00 / $8,339.00	Facility		$1,450.00	$5,806.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $351.15 / $421.38 / $578.29	Professional		$351.15	$421.38	$578.29