Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.73 / $2,877.00 / $4,933.00	Facility		$164.73	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.85 / $171.07 / $282.76	Professional		$126.85	$171.07	$282.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,241.67 / $2,616.71 / $3,564.68	Facility		$2,241.67	$2,616.71	$3,564.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.81 / $125.91 / $222.77	Professional		$36.81	$125.91	$222.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.17 / $200.72 / $326.64	Professional		$127.17	$200.72	$326.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $211.99 / $2,877.00 / $4,933.00	Facility		$211.99	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $171.07 / $211.99 / $345.12	Professional		$171.07	$211.99	$345.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.59 / $204.94 / $292.83	Professional		$163.59	$204.94	$292.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,819.00 / $8,339.00	Facility		$2,524.00	$5,819.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $214.65 / $259.42 / $363.75	Professional		$214.65	$259.42	$363.75