Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.90 / $2,056.00 / $4,933.00	Facility		$179.90	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.97 / $321.89 / $460.75	Professional		$155.97	$321.89	$460.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,443.38 / $1,682.31 / $2,279.26	Facility		$1,443.38	$1,682.31	$2,279.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.74 / $198.70 / $442.02	Professional		$39.74	$198.70	$442.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.47 / $271.26 / $552.61	Professional		$141.47	$271.26	$552.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $389.12 / $2,056.00 / $4,933.00	Facility		$389.12	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $179.90 / $422.87 / $554.50	Professional		$179.90	$422.87	$554.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $276.70 / $344.26 / $502.81	Professional		$276.70	$344.26	$502.81
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 $351.66 / $492.70 / $608.91	Professional		$351.66	$492.70	$608.91