Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.72 / $4,112.00 / $4,933.00	Facility		$236.72	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.69 / $236.72 / $236.72	Professional		$173.69	$236.72	$236.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,083.52 / $4,766.68 / $6,493.55	Facility		$4,083.52	$4,766.68	$6,493.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $277.38 / $374.46	Professional		$47.15	$277.38	$374.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.90 / $252.79 / $399.83	Professional		$156.90	$252.79	$399.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $196.00 / $4,112.00 / $4,933.00	Facility		$196.00	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $196.00 / $196.00 / $322.98	Professional		$196.00	$196.00	$322.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.52 / $205.73 / $294.70	Professional		$164.52	$205.73	$294.70
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.22 / $252.10 / $331.27	Professional		$210.22	$252.10	$331.27