Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.75 / $2,056.00 / $4,933.00	Facility		$291.75	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.22 / $268.57 / $291.75	Professional		$223.22	$268.57	$291.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $787.59 / $1,164.45 / $1,607.64	Facility		$787.59	$1,164.45	$1,607.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $272.89 / $379.42	Professional		$57.99	$272.89	$379.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.02 / $312.81 / $679.67	Professional		$186.02	$312.81	$679.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $241.55 / $2,056.00 / $4,933.00	Facility		$241.55	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $225.59 / $241.55 / $340.00	Professional		$225.59	$241.55	$340.00
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 $242.91 / $321.82 / $483.59	Professional		$242.91	$321.82	$483.59