Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.65 / $2,056.00 / $4,933.00	Facility		$254.65	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.60 / $260.92 / $442.47	Professional		$190.60	$260.92	$442.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.25 / $443.69 / $612.55	Facility		$308.25	$443.69	$612.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.03 / $292.83 / $485.50	Professional		$55.03	$292.83	$485.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.53 / $307.10 / $686.86	Professional		$184.53	$307.10	$686.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $287.29 / $2,056.00 / $4,933.00	Facility		$287.29	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $254.65 / $323.69 / $489.55	Professional		$254.65	$323.69	$489.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.06 / $279.03 / $420.12	Professional		$32.06	$279.03	$420.12
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 $315.91 / $402.92 / $570.51	Professional		$315.91	$402.92	$570.51