Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.23 / $4,933.00 / $4,933.00	Facility		$223.23	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.62 / $219.68 / $231.50	Professional		$170.62	$219.68	$231.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,466.31 / $15,673.44 / $36,144.19	Facility		$11,466.31	$15,673.44	$36,144.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.65 / $153.13 / $262.04	Professional		$41.65	$153.13	$262.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.36 / $242.05 / $316.70	Professional		$150.36	$242.05	$316.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $198.89 / $4,933.00 / $4,933.00	Facility		$198.89	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $185.30 / $198.89 / $279.26	Professional		$185.30	$198.89	$279.26
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 $5,000.00 / $10,192.00 / $14,705.00	Facility		$5,000.00	$10,192.00	$14,705.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.83 / $246.23 / $325.02	Professional		$199.83	$246.23	$325.02