Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.75 / $2,056.00 / $4,933.00	Facility		$198.75	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.55 / $186.56 / $275.20	Professional		$146.55	$186.56	$275.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,083.28 / $1,262.59 / $1,710.62	Facility		$1,083.28	$1,262.59	$1,710.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.18 / $241.85 / $366.27	Professional		$44.18	$241.85	$366.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.32 / $237.12 / $313.97	Professional		$153.32	$237.12	$313.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $201.35 / $2,056.00 / $4,933.00	Facility		$201.35	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $162.16 / $203.01 / $357.53	Professional		$162.16	$203.01	$357.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.81 / $176.01 / $254.80	Professional		$119.81	$176.01	$254.80
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,504.00	Facility		$773.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $230.82 / $331.67	Professional		$208.00	$230.82	$331.67