Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.53 / $2,877.00 / $6,906.00	Facility		$234.53	$2,877.00	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.35 / $234.53 / $267.43	Professional		$182.35	$234.53	$267.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,368.30 / $2,764.51 / $3,766.03	Facility		$2,368.30	$2,764.51	$3,766.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.09 / $183.33 / $293.33	Professional		$53.09	$183.33	$293.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.34 / $252.99 / $365.53	Professional		$174.34	$252.99	$365.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $218.21 / $2,877.00 / $4,933.00	Facility		$218.21	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $214.65 / $234.53 / $341.50	Professional		$214.65	$234.53	$341.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.70 / $189.03 / $281.13	Professional		$149.70	$189.03	$281.13
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 $231.01 / $282.63 / $361.61	Professional		$231.01	$282.63	$361.61