Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.58 / $2,877.00 / $4,933.00	Facility		$248.58	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.22 / $248.58 / $361.36	Professional		$195.22	$248.58	$361.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $644.08 / $750.70 / $1,017.08	Facility		$644.08	$750.70	$1,017.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.90 / $200.00 / $350.47	Professional		$57.90	$200.00	$350.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.12 / $279.27 / $450.43	Professional		$185.12	$279.27	$450.43
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $314.33 / $2,877.00 / $4,933.00	Facility		$314.33	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $248.58 / $314.33 / $473.44	Professional		$248.58	$314.33	$473.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $232.76 / $369.69	Professional		$30.79	$232.76	$369.69
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $331.74 / $399.94 / $520.14	Professional		$331.74	$399.94	$520.14