Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.06 / $4,933.00 / $4,933.00	Facility		$244.06	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.57 / $244.06 / $253.09	Professional		$181.57	$244.06	$253.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $893.37 / $1,221.16 / $2,816.10	Facility		$893.37	$1,221.16	$2,816.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $255.46 / $299.10	Professional		$45.71	$255.46	$299.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $281.80 / $353.12	Professional		$162.63	$281.80	$353.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $198.73 / $4,933.00 / $4,933.00	Facility		$198.73	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $198.73 / $207.91 / $353.30	Professional		$198.73	$207.91	$353.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $167.27 / $209.18 / $308.68	Professional		$167.27	$209.18	$308.68
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 $218.59 / $276.55 / $423.80	Professional		$218.59	$276.55	$423.80