Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.58 / $4,112.00 / $12,870.37	Facility		$202.58	$4,112.00	$12,870.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.10 / $202.58 / $280.83	Professional		$154.10	$202.58	$280.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,184.76 / $4,708.67 / $6,500.78	Facility		$3,184.76	$4,708.67	$6,500.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.55 / $195.21 / $280.61	Professional		$43.55	$195.21	$280.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.87 / $223.77 / $449.49	Professional		$148.87	$223.77	$449.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $210.43 / $4,112.00 / $5,756.00	Facility		$210.43	$4,112.00	$5,756.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $200.70 / $214.71 / $334.71	Professional		$200.70	$214.71	$334.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.20 / $221.17 / $326.78	Professional		$174.20	$221.17	$326.78
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 $200.86 / $269.23 / $358.68	Professional		$200.86	$269.23	$358.68