Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.58 / $4,933.00 / $4,933.00	Facility		$319.58	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.85 / $319.58 / $1,632.38	Professional		$231.85	$319.58	$1,632.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.71 / $1,299.18 / $1,741.51	Facility		$878.71	$1,299.18	$1,741.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $246.23 / $407.32	Professional		$64.12	$246.23	$407.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.20 / $319.04 / $835.73	Professional		$195.20	$319.04	$835.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $243.80 / $4,933.00 / $4,933.00	Facility		$243.80	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $243.80 / $273.23 / $391.82	Professional		$243.80	$273.23	$391.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $100.00 / $142.66	Professional		$75.00	$100.00	$142.66
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,036.00	Facility		$850.00	$4,645.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.21 / $296.70 / $379.86	Professional		$228.21	$296.70	$379.86