Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.50 / $4,933.00 / $4,933.00	Facility		$314.50	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.16 / $278.54 / $314.50	Professional		$217.16	$278.54	$314.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,129.50 / $1,341.14 / $1,842.03	Facility		$1,129.50	$1,341.14	$1,842.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $236.93 / $401.59	Professional		$63.82	$236.93	$401.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $304.70 / $590.19	Professional		$237.52	$304.70	$590.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $256.44 / $4,933.00 / $4,933.00	Facility		$256.44	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $244.20 / $267.45 / $387.85	Professional		$244.20	$267.45	$387.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.67 / $241.66 / $346.18	Professional		$190.67	$241.66	$346.18
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,036.00	Facility		$850.00	$4,645.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $256.60 / $327.76 / $452.54	Professional		$256.60	$327.76	$452.54