Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.60 / $2,056.00 / $4,933.00	Facility		$238.60	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.91 / $238.60 / $673.64	Professional		$162.91	$238.60	$673.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,108.63 / $1,639.11 / $2,262.96	Facility		$1,108.63	$1,639.11	$2,262.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.75 / $184.32 / $303.33	Professional		$47.75	$184.32	$303.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.92 / $286.58 / $906.42	Professional		$187.92	$286.58	$906.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $192.91 / $2,056.00 / $4,933.00	Facility		$192.91	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $192.91 / $238.60 / $673.64	Professional		$192.91	$238.60	$673.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.30 / $444.41 / $670.45	Professional		$32.30	$444.41	$670.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $4,857.00 / $6,036.00	Facility		$1,050.00	$4,857.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.61 / $249.84 / $722.60	Professional		$195.61	$249.84	$722.60