Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.27 / $4,112.00 / $4,933.00	Facility		$276.27	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.50 / $276.27 / $286.52	Professional		$188.50	$276.27	$286.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,569.82 / $4,160.75 / $5,637.16	Facility		$3,569.82	$4,160.75	$5,637.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $76.77 / $298.56	Professional		$48.34	$76.77	$298.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.25 / $293.20 / $363.37	Professional		$167.25	$293.20	$363.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $228.16 / $4,112.00 / $4,933.00	Facility		$228.16	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $214.70 / $229.39 / $324.97	Professional		$214.70	$229.39	$324.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.21 / $171.77 / $244.48	Professional		$138.21	$171.77	$244.48
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,780.00 / $10,556.00	Facility		$3,296.00	$7,780.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $242.56 / $296.64 / $383.73	Professional		$242.56	$296.64	$383.73