Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.45 / $4,933.00 / $4,933.00	Facility		$275.45	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.92 / $275.45 / $285.66	Professional		$192.92	$275.45	$285.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,006.90 / $1,376.34 / $3,173.95	Facility		$1,006.90	$1,376.34	$3,173.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.33 / $188.62 / $322.76	Professional		$57.33	$188.62	$322.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.72 / $306.75 / $374.74	Professional		$183.72	$306.75	$374.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $210.74 / $4,933.00 / $4,933.00	Facility		$210.74	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $210.74 / $233.58 / $339.24	Professional		$210.74	$233.58	$339.24
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 $239.78 / $296.64 / $414.67	Professional		$239.78	$296.64	$414.67