Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.16 / $620.00 / $4,933.00	Facility		$241.16	$620.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.04 / $241.17 / $290.13	Professional		$189.04	$241.17	$290.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,853.97 / $2,164.14 / $2,948.15	Facility		$1,853.97	$2,164.14	$2,948.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $178.34 / $328.14	Professional		$48.51	$178.34	$328.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.09 / $256.38 / $382.77	Professional		$178.09	$256.38	$382.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $221.26 / $2,877.00 / $4,933.00	Facility		$221.26	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $221.26 / $241.17 / $357.05	Professional		$221.26	$241.17	$357.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.71 / $205.04 / $293.66	Professional		$164.71	$205.04	$293.66
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 $248.16 / $301.75 / $418.87	Professional		$248.16	$301.75	$418.87