Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.22 / $2,056.00 / $4,933.00	Facility		$273.22	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.73 / $237.39 / $273.22	Professional		$181.73	$237.39	$273.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $563.71 / $833.45 / $1,117.21	Facility		$563.71	$833.45	$1,117.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $211.44 / $358.37	Professional		$57.51	$211.44	$358.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.00 / $260.45 / $475.07	Professional		$166.00	$260.45	$475.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $207.19 / $2,056.00 / $4,933.00	Facility		$207.19	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $207.19 / $227.90 / $333.78	Professional		$207.19	$227.90	$333.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.06 / $208.68 / $306.93	Professional		$151.06	$208.68	$306.93
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.23 / $266.11 / $343.46	Professional		$211.23	$266.11	$343.46