Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.05 / $1,996.14 / $4,933.00	Facility		$211.05	$1,996.14	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.59 / $211.05 / $327.32	Professional		$146.59	$211.05	$327.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,795.01 / $4,429.92 / $6,034.77	Facility		$3,795.01	$4,429.92	$6,034.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $157.19 / $266.43	Professional		$40.72	$157.19	$266.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.78 / $247.79 / $376.29	Professional		$161.78	$247.79	$376.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $214.84 / $2,877.00 / $4,933.00	Facility		$214.84	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $156.22 / $256.62 / $395.01	Professional		$156.22	$256.62	$395.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $192.13 / $238.67 / $337.91	Professional		$192.13	$238.67	$337.91
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 $256.82 / $309.64 / $453.59	Professional		$256.82	$309.64	$453.59