Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.25 / $2,877.00 / $4,933.00	Facility		$139.25	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.82 / $139.25 / $202.66	Professional		$119.82	$139.25	$202.66
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 $28.70 / $110.79 / $187.77	Professional		$28.70	$110.79	$187.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.93 / $164.80 / $264.14	Professional		$112.93	$164.80	$264.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $149.47 / $2,877.00 / $4,933.00	Facility		$149.47	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $139.25 / $157.32 / $243.57	Professional		$139.25	$157.32	$243.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $154.73 / $228.20	Professional		$117.74	$154.73	$228.20
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 $170.14 / $210.87 / $259.26	Professional		$170.14	$210.87	$259.26