Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.18 / $2,056.00 / $4,933.00	Facility		$289.18	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.29 / $268.57 / $289.18	Professional		$221.29	$268.57	$289.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $864.46 / $1,278.09 / $1,764.54	Facility		$864.46	$1,278.09	$1,764.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.48 / $75.22 / $378.71	Professional		$57.48	$75.22	$378.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.43 / $302.14 / $673.75	Professional		$184.43	$302.14	$673.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $239.08 / $2,056.00 / $4,933.00	Facility		$239.08	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $223.52 / $239.08 / $337.00	Professional		$223.52	$239.08	$337.00
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 $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 $238.91 / $316.88 / $486.42	Professional		$238.91	$316.88	$486.42