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 $176.02 / $244.06 / $253.09	Professional		$176.02	$244.06	$253.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $871.98 / $1,191.92 / $2,748.65	Facility		$871.98	$1,191.92	$2,748.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $168.07 / $282.36	Professional		$45.71	$168.07	$282.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $274.02 / $342.39	Professional		$162.63	$274.02	$342.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $192.51 / $4,933.00 / $4,933.00	Facility		$192.51	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $207.91 / $350.63	Professional		$192.51	$207.91	$350.63
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 $212.78 / $272.98 / $463.71	Professional		$212.78	$272.98	$463.71