Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.38 / $4,112.00 / $4,933.00	Facility		$223.38	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.18 / $223.00 / $231.97	Professional		$161.18	$223.00	$231.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,444.48 / $2,869.12 / $3,887.20	Facility		$2,444.48	$2,869.12	$3,887.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.72 / $210.34 / $453.56	Professional		$49.72	$210.34	$453.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.86 / $232.14 / $505.45	Professional		$131.86	$232.14	$505.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $196.70 / $4,112.00 / $4,933.00	Facility		$196.70	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $171.02 / $196.70 / $289.72	Professional		$171.02	$196.70	$289.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.46 / $155.34 / $225.09	Professional		$119.46	$155.34	$225.09
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 $180.13 / $228.70 / $317.69	Professional		$180.13	$228.70	$317.69