Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.75 / $2,056.00 / $4,933.00	Facility		$102.75	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.51 / $162.63 / $343.55	Professional		$73.51	$162.63	$343.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,740.64 / $2,573.53 / $3,449.75	Facility		$1,740.64	$2,573.53	$3,449.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $99.42 / $134.05	Professional		$20.49	$99.42	$134.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.07 / $191.93 / $507.41	Professional		$84.07	$191.93	$507.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $223.37 / $2,056.00 / $4,933.00	Facility		$223.37	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $87.40 / $223.37 / $373.10	Professional		$87.40	$223.37	$373.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $215.91 / $269.70 / $389.04	Professional		$215.91	$269.70	$389.04
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 $236.71 / $301.39 / $429.58	Professional		$236.71	$301.39	$429.58