Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.42 / $1,910.14 / $4,933.00	Facility		$185.42	$1,910.14	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.57 / $225.82 / $326.69	Professional		$142.57	$225.82	$326.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,561.83 / $2,309.17 / $3,095.38	Facility		$1,561.83	$2,309.17	$3,095.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.42 / $209.10 / $264.13	Professional		$37.42	$209.10	$264.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.75 / $245.75 / $515.02	Professional		$152.75	$245.75	$515.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $233.62 / $1,910.14 / $4,933.00	Facility		$233.62	$1,910.14	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $166.56 / $252.23 / $421.45	Professional		$166.56	$252.23	$421.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $215.60 / $328.51	Professional		$31.89	$215.60	$328.51
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 $248.57 / $318.02 / $419.15	Professional		$248.57	$318.02	$419.15