Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.76 / $2,877.00 / $4,933.00	Facility		$259.76	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.14 / $696.39 / $997.41	Professional		$200.14	$696.39	$997.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,088.09 / $1,608.75 / $2,221.04	Facility		$1,088.09	$1,608.75	$2,221.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.89 / $190.79 / $339.54	Professional		$51.89	$190.79	$339.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.30 / $623.52 / $1,541.55	Professional		$218.30	$623.52	$1,541.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $959.10 / $2,877.00 / $4,933.00	Facility		$959.10	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $259.76 / $959.10 / $1,296.53	Professional		$259.76	$959.10	$1,296.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.11 / $625.39 / $948.76	Professional		$64.11	$625.39	$948.76
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 $895.61 / $1,211.89 / $1,631.11	Professional		$895.61	$1,211.89	$1,631.11