Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.23 / $2,056.00 / $4,933.00	Facility		$192.23	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.86 / $463.31 / $646.79	Professional		$142.86	$463.31	$646.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,947.38 / $3,435.27 / $4,654.25	Facility		$2,947.38	$3,435.27	$4,654.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $133.53 / $288.41	Professional		$37.77	$133.53	$288.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $292.20 / $911.11	Professional		$137.22	$292.20	$911.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $568.57 / $2,056.00 / $4,933.00	Facility		$568.57	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $192.23 / $589.63 / $715.25	Professional		$192.23	$589.63	$715.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $357.84 / $444.82 / $650.94	Professional		$357.84	$444.82	$650.94
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 $562.99 / $800.31 / $1,017.66	Professional		$562.99	$800.31	$1,017.66