Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.25 / $767.14 / $4,933.00	Facility		$216.25	$767.14	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.33 / $216.25 / $278.05	Professional		$163.33	$216.25	$278.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,805.30 / $2,107.33 / $2,870.76	Facility		$1,805.30	$2,107.33	$2,870.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.40 / $213.24 / $328.05	Professional		$46.40	$213.24	$328.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.33 / $240.05 / $350.37	Professional		$163.33	$240.05	$350.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $220.52 / $767.14 / $4,933.00	Facility		$220.52	$767.14	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $190.74 / $226.96 / $350.34	Professional		$190.74	$226.96	$350.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.69 / $188.13 / $278.36	Professional		$148.69	$188.13	$278.36
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 $225.72 / $281.52 / $354.23	Professional		$225.72	$281.52	$354.23