Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.94 / $4,112.00 / $4,933.00	Facility		$161.94	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $264.04 / $421.58	Professional		$130.47	$264.04	$421.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,313.13 / $1,532.81 / $2,088.11	Facility		$1,313.13	$1,532.81	$2,088.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $184.50 / $262.18	Professional		$34.33	$184.50	$262.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.18 / $195.60 / $417.98	Professional		$108.18	$195.60	$417.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $303.05 / $4,112.00 / $4,933.00	Facility		$303.05	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $303.05 / $516.62	Professional		$161.94	$303.05	$516.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $230.32 / $369.16	Professional		$30.69	$230.32	$369.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,857.00 / $6,327.00	Facility		$1,527.00	$4,857.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $278.61 / $369.78 / $502.37	Professional		$278.61	$369.78	$502.37