Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.27 / $4,112.00 / $4,933.00	Facility		$301.27	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.01 / $301.27 / $313.83	Professional		$214.01	$301.27	$313.83
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 $64.51 / $237.16 / $436.38	Professional		$64.51	$237.16	$436.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.37 / $298.85 / $521.96	Professional		$228.37	$298.85	$521.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $256.75 / $4,112.00 / $4,933.00	Facility		$256.75	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $256.75 / $285.85 / $413.98	Professional		$256.75	$285.85	$413.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $177.07 / $243.49 / $358.02	Professional		$177.07	$243.49	$358.02
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 $273.19 / $326.16 / $408.51	Professional		$273.19	$326.16	$408.51