Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.05 / $2,056.00 / $4,933.00	Facility		$201.05	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.76 / $294.81 / $520.91	Professional		$155.76	$294.81	$520.91
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 $40.21 / $147.84 / $252.99	Professional		$40.21	$147.84	$252.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.01 / $341.80 / $798.29	Professional		$170.01	$341.80	$798.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $387.73 / $2,056.00 / $4,933.00	Facility		$387.73	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $201.05 / $387.73 / $601.50	Professional		$201.05	$387.73	$601.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $324.82 / $404.36 / $582.74	Professional		$324.82	$404.36	$582.74
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 $405.57 / $503.02 / $673.11	Professional		$405.57	$503.02	$673.11