Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.39 / $2,056.00 / $4,933.00	Facility		$178.39	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.27 / $321.29 / $445.56	Professional		$158.27	$321.29	$445.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,374.57 / $1,602.11 / $2,170.61	Facility		$1,374.57	$1,602.11	$2,170.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $209.31 / $410.98	Professional		$33.27	$209.31	$410.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.56 / $267.89 / $506.94	Professional		$138.56	$267.89	$506.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $369.68 / $2,056.00 / $4,933.00	Facility		$369.68	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $178.39 / $397.34 / $536.22	Professional		$178.39	$397.34	$536.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $248.11 / $310.55 / $453.67	Professional		$248.11	$310.55	$453.67
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $347.44 / $471.82 / $630.37	Professional		$347.44	$471.82	$630.37