Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.06 / $2,877.00 / $4,933.00	Facility		$395.06	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.81 / $353.68 / $395.06	Professional		$282.81	$353.68	$395.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.45 / $2,077.50 / $2,077.50	Facility		$235.45	$2,077.50	$2,077.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.29 / $1,385.00 / $2,202.15	Professional		$254.29	$1,385.00	$2,202.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.74 / $361.15 / $724.83	Professional		$279.74	$361.15	$724.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $327.44 / $2,877.00 / $4,933.00	Facility		$327.44	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $304.18 / $327.44 / $523.84	Professional		$304.18	$327.44	$523.84
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 $314.91 / $400.28 / $556.12	Professional		$314.91	$400.28	$556.12