Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.53 / $2,056.00 / $4,933.00	Facility		$347.53	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.04 / $347.53 / $359.85	Professional		$266.04	$347.53	$359.85
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 $71.58 / $384.62 / $485.83	Professional		$71.58	$384.62	$485.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.75 / $363.83 / $807.38	Professional		$221.75	$363.83	$807.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $286.37 / $2,056.00 / $4,933.00	Facility		$286.37	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $269.08 / $286.37 / $396.22	Professional		$269.08	$286.37	$396.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $244.86 / $311.51 / $441.01	Professional		$244.86	$311.51	$441.01
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 $286.91 / $381.58 / $552.77	Professional		$286.91	$381.58	$552.77