Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $2,056.00 / $4,933.00	Facility		$464.00	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $902.22 / $902.22 / $902.22	Professional		$902.22	$902.22	$902.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $214.48 / $249.98 / $338.68	Facility		$214.48	$249.98	$338.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $771.27 / $771.27 / $771.27	Professional		$771.27	$771.27	$771.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $138.38 / $138.38	Professional		$138.38	$138.38	$138.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $507.15 / $2,056.00 / $4,933.00	Facility		$507.15	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $902.22 / $902.22 / $2,056.00	Professional		$902.22	$902.22	$2,056.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,438.00 / $1,844.00	Facility		$300.00	$1,438.00	$1,844.00