Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.54 / $4,112.00 / $4,980.16	Facility		$227.54	$4,112.00	$4,980.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.03 / $296.83 / $446.31	Professional		$171.03	$296.83	$446.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,083.53 / $4,766.71 / $6,493.57	Facility		$4,083.53	$4,766.71	$6,493.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $179.74 / $301.27	Professional		$46.56	$179.74	$301.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.05 / $319.26 / $559.09	Professional		$188.05	$319.26	$559.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $286.70 / $4,112.00 / $4,980.16	Facility		$286.70	$4,112.00	$4,980.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $218.44 / $344.63 / $540.16	Professional		$218.44	$344.63	$540.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $270.65 / $342.96 / $500.09	Professional		$270.65	$342.96	$500.09
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 $365.48 / $427.99 / $543.30	Professional		$365.48	$427.99	$543.30