Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.10 / $2,877.00 / $4,933.00	Facility		$215.10	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $213.97 / $224.06	Professional		$149.97	$213.97	$224.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $888.73 / $1,037.42 / $1,413.25	Facility		$888.73	$1,037.42	$1,413.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $170.55 / $354.76	Professional		$48.71	$170.55	$354.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.65 / $200.04 / $373.22	Professional		$163.65	$200.04	$373.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $175.28 / $2,877.00 / $4,933.00	Facility		$175.28	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $175.28 / $200.38 / $262.92	Professional		$175.28	$200.38	$262.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.81 / $155.78 / $226.11	Professional		$119.81	$155.78	$226.11
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 $190.88 / $224.38 / $282.75	Professional		$190.88	$224.38	$282.75