Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.67 / $2,877.00 / $4,933.00	Facility		$184.67	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.19 / $220.84 / $313.85	Professional		$144.19	$220.84	$313.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,920.16 / $2,241.40 / $3,053.41	Facility		$1,920.16	$2,241.40	$3,053.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $136.01 / $232.75	Professional		$38.47	$136.01	$232.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.26 / $230.86 / $365.23	Professional		$149.26	$230.86	$365.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $222.68 / $2,877.00 / $4,933.00	Facility		$222.68	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $184.67 / $226.03 / $374.21	Professional		$184.67	$226.03	$374.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.95 / $208.68 / $296.76	Professional		$148.95	$208.68	$296.76
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 $248.17 / $300.76 / $381.21	Professional		$248.17	$300.76	$381.21