Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.50 / $2,056.00 / $4,933.00	Facility		$249.50	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.84 / $267.43 / $335.38	Professional		$211.84	$267.43	$335.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,767.03 / $2,062.65 / $2,809.90	Facility		$1,767.03	$2,062.65	$2,809.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.97 / $200.33 / $396.84	Professional		$53.97	$200.33	$396.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.30 / $286.62 / $435.51	Professional		$186.30	$286.62	$435.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $307.44 / $2,056.00 / $4,933.00	Facility		$307.44	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $249.50 / $307.44 / $442.70	Professional		$249.50	$307.44	$442.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $217.32 / $328.61	Professional		$32.28	$217.32	$328.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,857.00 / $6,327.00	Facility		$1,527.00	$4,857.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.97 / $397.12 / $573.67	Professional		$319.97	$397.12	$573.67