Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.78 / $2,056.00 / $4,933.00	Facility		$128.78	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.65 / $157.36 / $269.24	Professional		$94.65	$157.36	$269.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,740.64 / $2,573.53 / $3,553.02	Facility		$1,740.64	$2,573.53	$3,553.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.77 / $113.53 / $163.50	Professional		$28.77	$113.53	$163.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.96 / $182.87 / $401.41	Professional		$84.96	$182.87	$401.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $226.94 / $2,056.00 / $4,933.00	Facility		$226.94	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $128.78 / $226.94 / $295.47	Professional		$128.78	$226.94	$295.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.31 / $203.09 / $291.99	Professional		$163.31	$203.09	$291.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,819.00 / $7,355.00	Facility		$1,450.00	$5,819.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.74 / $262.45 / $355.82	Professional		$182.74	$262.45	$355.82