Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.48 / $2,056.00 / $4,933.00	Facility		$265.48	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.67 / $360.09 / $505.07	Professional		$204.67	$360.09	$505.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $985.78 / $1,170.49 / $1,607.64	Facility		$985.78	$1,170.49	$1,607.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.53 / $201.98 / $348.03	Professional		$56.53	$201.98	$348.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.06 / $413.00 / $802.87	Professional		$224.06	$413.00	$802.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $457.55 / $2,056.00 / $4,933.00	Facility		$457.55	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $265.48 / $457.55 / $599.98	Professional		$265.48	$457.55	$599.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $326.63 / $406.19 / $583.98	Professional		$326.63	$406.19	$583.98
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 $404.93 / $562.16 / $774.11	Professional		$404.93	$562.16	$774.11