Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.26 / $2,877.00 / $4,933.00	Facility		$190.26	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.03 / $219.52 / $382.90	Professional		$146.03	$219.52	$382.90
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 $38.01 / $153.72 / $248.71	Professional		$38.01	$153.72	$248.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.12 / $264.58 / $459.18	Professional		$149.12	$264.58	$459.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $285.35 / $2,877.00 / $4,933.00	Facility		$285.35	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $190.26 / $285.35 / $467.30	Professional		$190.26	$285.35	$467.30
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 $1,050.00 / $3,569.00 / $6,327.00	Facility		$1,050.00	$3,569.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $350.72 / $496.59	Professional		$293.52	$350.72	$496.59