Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.26 / $2,056.00 / $4,933.00	Facility		$108.26	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.10 / $261.74 / $497.79	Professional		$89.10	$261.74	$497.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $739.77 / $1,011.20 / $2,331.92	Facility		$739.77	$1,011.20	$2,331.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $83.09 / $125.49	Professional		$20.32	$83.09	$125.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $166.16 / $693.67	Professional		$86.90	$166.16	$693.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $411.76 / $2,056.00 / $4,933.00	Facility		$411.76	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $112.27 / $411.76 / $539.94	Professional		$112.27	$411.76	$539.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $303.01 / $377.43 / $538.45	Professional		$303.01	$377.43	$538.45
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,594.00	Facility		$773.00	$3,005.00	$4,594.00
United Facility/Professional Professional Modifier Low / Median / High Price $444.25 / $550.25 / $733.66	Professional		$444.25	$550.25	$733.66