Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.53 / $2,877.00 / $4,933.00	Facility		$248.53	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.01 / $248.53 / $258.08	Professional		$175.01	$248.53	$258.08
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 $57.05 / $277.22 / $324.58	Professional		$57.05	$277.22	$324.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.33 / $241.29 / $394.89	Professional		$139.33	$241.29	$394.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $202.08 / $2,877.00 / $4,933.00	Facility		$202.08	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $202.08 / $220.32 / $340.51	Professional		$202.08	$220.32	$340.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.30 / $171.18 / $245.14	Professional		$137.30	$171.18	$245.14
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 $210.32 / $247.63 / $411.62	Professional		$210.32	$247.63	$411.62