Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.90 / $2,877.00 / $4,933.00	Facility		$235.90	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.29 / $235.90 / $235.90	Professional		$165.29	$235.90	$235.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $868.37 / $1,036.89 / $1,466.14	Facility		$868.37	$1,036.89	$1,466.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.07 / $173.05 / $303.52	Professional		$47.07	$173.05	$303.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.83 / $210.83 / $210.83	Facility		$210.83	$210.83	$210.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.96 / $228.97 / $497.86	Professional		$159.96	$228.97	$497.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $187.86 / $2,877.00 / $4,933.00	Facility		$187.86	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $187.86 / $209.67 / $322.02	Professional		$187.86	$209.67	$322.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.59 / $200.09 / $283.18	Professional		$163.59	$200.09	$283.18
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,438.00 / $2,029.00	Facility		$464.00	$1,438.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.52 / $233.82 / $313.93	Professional		$194.52	$233.82	$313.93