Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.41 / $2,056.00 / $4,933.00	Facility		$228.41	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.40 / $258.16 / $802.25	Professional		$160.40	$258.16	$802.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,017.22 / $4,682.21 / $6,343.65	Facility		$4,017.22	$4,682.21	$6,343.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.09 / $240.80 / $342.18	Professional		$43.09	$240.80	$342.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.78 / $338.06 / $1,143.98	Professional		$159.78	$338.06	$1,143.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $726.44 / $2,056.00 / $4,933.00	Facility		$726.44	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $228.41 / $812.53 / $972.58	Professional		$228.41	$812.53	$972.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $495.88 / $616.50 / $902.15	Professional		$495.88	$616.50	$902.15
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 $750.37 / $1,089.29 / $1,360.04	Professional		$750.37	$1,089.29	$1,360.04