Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.87 / $2,877.00 / $4,933.00	Facility		$246.87	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.14 / $296.00 / $438.71	Professional		$196.14	$296.00	$438.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,589.12 / $1,854.99 / $2,527.00	Facility		$1,589.12	$1,854.99	$2,527.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.70 / $203.22 / $312.64	Professional		$49.70	$203.22	$312.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.12 / $320.42 / $543.82	Professional		$199.12	$320.42	$543.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $281.58 / $2,877.00 / $4,933.00	Facility		$281.58	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $246.87 / $315.36 / $467.31	Professional		$246.87	$315.36	$467.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $300.02 / $377.67 / $549.68	Professional		$300.02	$377.67	$549.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,857.00 / $6,327.00	Facility		$1,527.00	$4,857.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $322.18 / $401.46 / $542.04	Professional		$322.18	$401.46	$542.04