Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.03 / $4,112.00 / $4,933.00	Facility		$181.03	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.62 / $181.03 / $187.73	Professional		$133.62	$181.03	$187.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,282.84 / $4,991.80 / $6,763.10	Facility		$4,282.84	$4,991.80	$6,763.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $124.19 / $221.01	Professional		$35.13	$124.19	$221.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.63 / $183.57 / $248.24	Professional		$104.63	$183.57	$248.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $163.01 / $4,112.00 / $4,933.00	Facility		$163.01	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $154.10 / $163.01 / $244.40	Professional		$154.10	$163.01	$244.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.70 / $174.72 / $254.37	Professional		$138.70	$174.72	$254.37
United Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $10,192.00 / $14,705.00	Facility		$5,000.00	$10,192.00	$14,705.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.86 / $193.55 / $255.49	Professional		$159.86	$193.55	$255.49