Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.89 / $2,056.00 / $4,933.00	Facility		$239.89	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.30 / $239.89 / $249.89	Professional		$171.30	$239.89	$249.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,138.48 / $2,496.26 / $3,400.59	Facility		$2,138.48	$2,496.26	$3,400.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $255.88 / $337.32	Professional		$57.35	$255.88	$337.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.32 / $225.36 / $415.06	Professional		$182.32	$225.36	$415.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $192.91 / $2,056.00 / $4,933.00	Facility		$192.91	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $192.91 / $221.84 / $320.91	Professional		$192.91	$221.84	$320.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.44 / $182.19 / $285.87	Professional		$124.44	$182.19	$285.87
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 $211.04 / $254.24 / $316.86	Professional		$211.04	$254.24	$316.86