Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.46 / $1,924.00 / $4,933.00	Facility		$230.46	$1,924.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.22 / $407.43 / $679.79	Professional		$167.22	$407.43	$679.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,901.62 / $4,290.05 / $5,750.69	Facility		$2,901.62	$4,290.05	$5,750.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.65 / $215.52 / $331.06	Professional		$50.65	$215.52	$331.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.87 / $400.82 / $1,046.76	Professional		$189.87	$400.82	$1,046.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $290.37 / $1,924.00 / $4,933.00	Facility		$290.37	$1,924.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $188.53 / $526.80 / $832.09	Professional		$188.53	$526.80	$832.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.05 / $452.77 / $691.12	Professional		$32.05	$452.77	$691.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,999.08 / $5,708.00 / $7,719.51	Facility		$1,999.08	$5,708.00	$7,719.51
United Facility/Professional Professional Modifier Low / Median / High Price $529.95 / $667.08 / $889.44	Professional		$529.95	$667.08	$889.44