Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.11 / $2,056.00 / $4,933.00	Facility		$164.11	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.42 / $329.24 / $551.39	Professional		$124.42	$329.24	$551.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,571.71 / $2,323.78 / $3,114.96	Facility		$1,571.71	$2,323.78	$3,114.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $129.33 / $217.13	Professional		$36.90	$129.33	$217.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.87 / $307.25 / $826.83	Professional		$136.87	$307.25	$826.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $455.07 / $2,056.00 / $4,933.00	Facility		$455.07	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $164.11 / $455.07 / $641.54	Professional		$164.11	$455.07	$641.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.05 / $371.66 / $555.52	Professional		$32.05	$371.66	$555.52
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 $432.35 / $565.45 / $761.48	Professional		$432.35	$565.45	$761.48