Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.80 / $2,056.00 / $4,933.00	Facility		$70.80	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.73 / $64.20 / $70.80	Professional		$50.73	$64.20	$70.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $876.85 / $1,296.43 / $1,789.85	Facility		$876.85	$1,296.43	$1,789.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.87 / $1,315.75 / $2,306.03	Professional		$244.87	$1,315.75	$2,306.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.15 / $65.22 / $136.36	Professional		$50.15	$65.22	$136.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $59.01 / $2,056.00 / $4,933.00	Facility		$59.01	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $54.49 / $59.01 / $94.08	Professional		$54.49	$59.01	$94.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
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 $57.24 / $72.09 / $102.42	Professional		$57.24	$72.09	$102.42