Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.69 / $2,877.00 / $4,933.00	Facility		$212.69	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.93 / $249.71 / $396.10	Professional		$154.93	$249.71	$396.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,361.90 / $1,617.10 / $2,221.04	Facility		$1,361.90	$1,617.10	$2,221.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.35 / $175.29 / $283.60	Professional		$43.35	$175.29	$283.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.24 / $292.52 / $613.53	Professional		$165.24	$292.52	$613.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $267.48 / $2,877.00 / $4,933.00	Facility		$267.48	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $278.23 / $441.98	Professional		$181.97	$278.23	$441.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $262.57 / $414.09	Professional		$30.66	$262.57	$414.09
United Facility/Professional Facility Modifier Low / Median / High Price $558.00 / $3,523.00 / $6,029.00	Facility		$558.00	$3,523.00	$6,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $281.17 / $356.59 / $489.13	Professional		$281.17	$356.59	$489.13