Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.32 / $4,933.00 / $4,933.00	Facility		$175.32	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.87 / $175.32 / $181.82	Professional		$127.87	$175.32	$181.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $627.48 / $731.34 / $990.86	Facility		$627.48	$731.34	$990.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $200.95 / $260.85	Professional		$38.64	$200.95	$260.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.66 / $209.90 / $324.82	Professional		$116.66	$209.90	$324.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $149.22 / $4,933.00 / $4,933.00	Facility		$149.22	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $149.22 / $149.91 / $201.46	Professional		$149.22	$149.91	$201.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.70 / $174.72 / $254.37	Professional		$138.70	$174.72	$254.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,740.00	Facility		$1,906.00	$4,645.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.65 / $194.58 / $284.10	Professional		$151.65	$194.58	$284.10