Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.43 / $4,933.00 / $4,933.00	Facility		$304.43	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.20 / $269.63 / $304.43	Professional		$211.20	$269.63	$304.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $863.13 / $1,276.14 / $1,761.83	Facility		$863.13	$1,276.14	$1,761.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.34 / $229.08 / $387.48	Professional		$59.34	$229.08	$387.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.03 / $294.64 / $553.64	Professional		$226.03	$294.64	$553.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $248.49 / $4,933.00 / $4,933.00	Facility		$248.49	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $236.02 / $260.16 / $374.34	Professional		$236.02	$260.16	$374.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.67 / $241.66 / $346.18	Professional		$190.67	$241.66	$346.18
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 $246.47 / $317.02 / $395.24	Professional		$246.47	$317.02	$395.24