Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.87 / $2,056.00 / $4,933.00	Facility		$230.87	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.71 / $268.57 / $686.77	Professional		$178.71	$268.57	$686.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $864.46 / $1,278.09 / $1,713.26	Facility		$864.46	$1,278.09	$1,713.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.96 / $60.15 / $289.33	Professional		$45.96	$60.15	$289.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.86 / $499.68 / $1,153.30	Professional		$187.86	$499.68	$1,153.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $526.41 / $2,056.00 / $4,933.00	Facility		$526.41	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $230.87 / $588.00 / $764.40	Professional		$230.87	$588.00	$764.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $434.35 / $540.60 / $775.75	Professional		$434.35	$540.60	$775.75
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 $574.19 / $778.86 / $1,071.73	Professional		$574.19	$778.86	$1,071.73