Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.84 / $2,056.00 / $4,933.00	Facility		$229.84	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.62 / $190.92 / $260.87	Professional		$151.62	$190.92	$260.87
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 $48.60 / $180.40 / $307.88	Professional		$48.60	$180.40	$307.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.10 / $221.04 / $408.12	Professional		$153.10	$221.04	$408.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $169.62 / $2,056.00 / $4,933.00	Facility		$169.62	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $169.62 / $192.31 / $286.61	Professional		$169.62	$192.31	$286.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.66 / $172.26 / $248.73	Professional		$134.66	$172.26	$248.73
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 $172.88 / $223.15 / $290.27	Professional		$172.88	$223.15	$290.27