Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.26 / $2,056.00 / $4,933.00	Facility		$283.26	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.29 / $288.85 / $442.59	Professional		$212.29	$288.85	$442.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.72 / $380.08 / $505.70	Facility		$316.72	$380.08	$505.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.32 / $337.13 / $566.38	Professional		$57.32	$337.13	$566.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.45 / $329.01 / $681.79	Professional		$227.45	$329.01	$681.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $303.04 / $2,056.00 / $4,933.00	Facility		$303.04	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $333.34 / $513.76	Professional		$283.26	$333.34	$513.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.30 / $313.89 / $473.12	Professional		$32.30	$313.89	$473.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,569.00 / $6,036.00	Facility		$1,050.00	$3,569.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.45 / $412.95 / $565.62	Professional		$327.45	$412.95	$565.62