Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.39 / $4,112.00 / $6,752.60	Facility		$312.39	$4,112.00	$6,752.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.88 / $312.39 / $323.98	Professional		$227.88	$312.39	$323.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,282.94 / $2,660.85 / $3,605.04	Facility		$2,282.94	$2,660.85	$3,605.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.61 / $368.11 / $584.92	Professional		$66.61	$368.11	$584.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.48 / $320.33 / $426.18	Professional		$186.48	$320.33	$426.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $280.54 / $4,112.00 / $5,756.00	Facility		$280.54	$4,112.00	$5,756.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $262.95 / $280.54 / $421.36	Professional		$262.95	$280.54	$421.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $176.14 / $224.32 / $335.36	Professional		$176.14	$224.32	$335.36
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 $268.76 / $333.69 / $507.93	Professional		$268.76	$333.69	$507.93