Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.21 / $2,056.00 / $4,933.00	Facility		$136.21	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.82 / $170.96 / $286.30	Professional		$100.82	$170.96	$286.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,088.09 / $1,608.75 / $2,221.04	Facility		$1,088.09	$1,608.75	$2,221.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $99.90 / $179.03	Professional		$27.17	$99.90	$179.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.77 / $198.80 / $421.50	Professional		$103.77	$198.80	$421.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $230.22 / $2,056.00 / $4,933.00	Facility		$230.22	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $136.21 / $230.22 / $314.89	Professional		$136.21	$230.22	$314.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.37 / $236.28 / $340.24	Professional		$190.37	$236.28	$340.24
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 $210.98 / $281.61 / $380.14	Professional		$210.98	$281.61	$380.14