Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.00 / $2,056.00 / $4,933.00	Facility		$266.00	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.67 / $239.49 / $266.00	Professional		$183.67	$239.49	$266.00
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 $55.82 / $315.72 / $615.66	Professional		$55.82	$315.72	$615.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.50 / $243.40 / $427.70	Professional		$194.50	$243.40	$427.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $212.73 / $2,056.00 / $4,933.00	Facility		$212.73	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $212.73 / $226.32 / $343.57	Professional		$212.73	$226.32	$343.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.70 / $189.20 / $281.97	Professional		$149.70	$189.20	$281.97
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 $234.87 / $278.58 / $349.92	Professional		$234.87	$278.58	$349.92