Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.28 / $2,056.00 / $4,933.00	Facility		$187.28	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.56 / $187.28 / $187.28	Professional		$138.56	$187.28	$187.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,052.57 / $2,395.96 / $3,263.96	Facility		$2,052.57	$2,395.96	$3,263.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $139.75 / $248.71	Professional		$39.90	$139.75	$248.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.99 / $203.48 / $388.45	Professional		$137.99	$203.48	$388.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $150.34 / $2,056.00 / $4,933.00	Facility		$150.34	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $150.34 / $167.41 / $243.87	Professional		$150.34	$167.41	$243.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.81 / $136.69 / $195.77	Professional		$109.81	$136.69	$195.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,819.00 / $8,339.00	Facility		$2,524.00	$5,819.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.81 / $200.33 / $255.45	Professional		$164.81	$200.33	$255.45