Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.42 / $2,056.00 / $4,933.00	Facility		$170.42	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.37 / $170.42 / $209.30	Professional		$130.37	$170.42	$209.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $950.25 / $1,404.94 / $1,883.29	Facility		$950.25	$1,404.94	$1,883.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $133.88 / $222.67	Professional		$38.04	$133.88	$222.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.54 / $214.61 / $397.47	Professional		$130.54	$214.61	$397.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $229.86 / $2,056.00 / $4,933.00	Facility		$229.86	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $135.24 / $228.14 / $270.00	Professional		$135.24	$228.14	$270.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $102.24 / $147.23	Professional		$82.26	$102.24	$147.23
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 $140.75 / $211.13 / $363.42	Professional		$140.75	$211.13	$363.42