Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.69 / $2,056.00 / $4,933.00	Facility		$170.69	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.66 / $172.49 / $230.18	Professional		$123.66	$172.49	$230.18
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 $37.85 / $199.19 / $322.69	Professional		$37.85	$199.19	$322.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.53 / $182.13 / $310.92	Professional		$123.53	$182.13	$310.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $178.00 / $2,056.00 / $4,933.00	Facility		$178.00	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $178.00 / $269.07	Professional		$159.94	$178.00	$269.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.37 / $154.18 / $226.49	Professional		$118.37	$154.18	$226.49
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 $174.61 / $207.40 / $285.22	Professional		$174.61	$207.40	$285.22