Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.40 / $2,877.00 / $8,870.27	Facility		$222.40	$2,877.00	$8,870.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $201.37 / $302.67	Professional		$158.88	$201.37	$302.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,266.89 / $3,813.45 / $5,194.97	Facility		$3,266.89	$3,813.45	$5,194.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.17 / $194.81 / $325.85	Professional		$48.17	$194.81	$325.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.43 / $233.44 / $384.82	Professional		$175.43	$233.44	$384.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $197.95 / $2,877.00 / $6,906.00	Facility		$197.95	$2,877.00	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $185.19 / $231.67 / $351.63	Professional		$185.19	$231.67	$351.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.29 / $207.27 / $295.95	Professional		$153.29	$207.27	$295.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,492.19 / $5,574.00 / $8,339.00	Facility		$2,492.19	$5,574.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $262.88 / $381.46	Professional		$216.49	$262.88	$381.46