Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.91 / $4,933.00 / $4,933.00	Facility		$311.91	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.16 / $311.91 / $323.89	Professional		$224.16	$311.91	$323.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,163.21 / $1,355.76 / $1,836.84	Facility		$1,163.21	$1,355.76	$1,836.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.12 / $355.56 / $790.98	Professional		$71.12	$355.56	$790.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.45 / $337.52 / $479.64	Professional		$215.45	$337.52	$479.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $270.31 / $4,933.00 / $4,933.00	Facility		$270.31	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $270.31 / $275.79 / $437.78	Professional		$270.31	$275.79	$437.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $193.77 / $243.46 / $350.58	Professional		$193.77	$243.46	$350.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $275.25 / $317.58 / $426.41	Professional		$275.25	$317.58	$426.41