Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.70 / $4,933.00 / $4,933.00	Facility		$312.70	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.28 / $291.62 / $400.20	Professional		$226.28	$291.62	$400.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,714.20 / $2,534.44 / $3,397.35	Facility		$1,714.20	$2,534.44	$3,397.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $234.37 / $412.48	Professional		$63.75	$234.37	$412.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.58 / $308.06 / $587.38	Professional		$228.58	$308.06	$587.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $249.21 / $4,933.00 / $4,933.00	Facility		$249.21	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $244.42 / $274.13 / $406.05	Professional		$244.42	$274.13	$406.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $176.47 / $220.29 / $328.21	Professional		$176.47	$220.29	$328.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,819.00 / $7,355.00	Facility		$1,450.00	$5,819.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $253.24 / $320.12 / $445.93	Professional		$253.24	$320.12	$445.93