Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.61 / $4,933.00 / $14,492.51	Facility		$306.61	$4,933.00	$14,492.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.51 / $313.75 / $448.63	Professional		$229.51	$313.75	$448.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,630.18 / $5,497.78 / $7,551.07	Facility		$4,630.18	$5,497.78	$7,551.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.83 / $257.25 / $415.29	Professional		$69.83	$257.25	$415.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.21 / $350.88 / $696.30	Professional		$244.21	$350.88	$696.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $335.61 / $4,933.00 / $14,492.51	Facility		$335.61	$4,933.00	$14,492.51
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $245.91 / $335.61 / $567.59	Professional		$245.91	$335.61	$567.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.05 / $279.47 / $419.92	Professional		$32.05	$279.47	$419.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $4,857.00 / $6,036.00	Facility		$1,050.00	$4,857.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $339.87 / $431.73 / $554.37	Professional		$339.87	$431.73	$554.37