Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.39 / $2,877.00 / $4,933.00	Facility		$196.39	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.83 / $175.57 / $196.39	Professional		$142.83	$175.57	$196.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,142.87 / $3,168.24 / $4,246.93	Facility		$2,142.87	$3,168.24	$4,246.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.52 / $176.64 / $271.30	Professional		$41.52	$176.64	$271.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $197.84 / $391.75	Professional		$147.65	$197.84	$391.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $151.09 / $2,877.00 / $4,933.00	Facility		$151.09	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $150.56 / $156.88 / $225.00	Professional		$150.56	$156.88	$225.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.84 / $137.05 / $196.61	Professional		$109.84	$137.05	$196.61
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 $160.24 / $216.21 / $285.39	Professional		$160.24	$216.21	$285.39