Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.14 / $4,933.00 / $4,933.00	Facility		$309.14	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.55 / $286.52 / $320.60	Professional		$222.55	$286.52	$320.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,131.92 / $1,547.23 / $3,568.04	Facility		$1,131.92	$1,547.23	$3,568.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $324.06 / $460.51	Professional		$57.99	$324.06	$460.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.88 / $358.12 / $448.82	Professional		$206.88	$358.12	$448.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $252.52 / $4,933.00 / $4,933.00	Facility		$252.52	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $245.32 / $263.80 / $414.01	Professional		$245.32	$263.80	$414.01
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 $273.49 / $347.85 / $461.50	Professional		$273.49	$347.85	$461.50