Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.37 / $2,877.00 / $4,933.00	Facility		$151.37	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.70 / $188.35 / $348.07	Professional		$116.70	$188.35	$348.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,427.01 / $1,665.75 / $2,269.19	Facility		$1,427.01	$1,665.75	$2,269.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $106.74 / $206.74	Professional		$30.57	$106.74	$206.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.50 / $193.03 / $364.92	Professional		$120.50	$193.03	$364.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $227.60 / $2,877.00 / $4,933.00	Facility		$227.60	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $151.37 / $236.52 / $375.96	Professional		$151.37	$236.52	$375.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $217.81 / $272.90 / $390.38	Professional		$217.81	$272.90	$390.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,257.06 / $3,569.00 / $6,036.00	Facility		$1,257.06	$3,569.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.06 / $297.26 / $440.58	Professional		$234.06	$297.26	$440.58