Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.90 / $2,877.00 / $4,933.00	Facility		$213.90	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.82 / $213.90 / $222.13	Professional		$149.82	$213.90	$222.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,141.60 / $1,332.60 / $1,815.37	Facility		$1,141.60	$1,332.60	$1,815.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.60 / $260.39 / $413.76	Professional		$49.60	$260.39	$413.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.39 / $212.87 / $363.21	Professional		$118.39	$212.87	$363.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $177.75 / $2,877.00 / $4,933.00	Facility		$177.75	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $177.75 / $187.62 / $297.74	Professional		$177.75	$187.62	$297.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.89 / $137.40 / $196.72	Professional		$109.89	$137.40	$196.72
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 $190.98 / $218.27 / $296.64	Professional		$190.98	$218.27	$296.64