Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.47 / $1,375.92 / $4,933.00	Facility		$284.47	$1,375.92	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.09 / $218.25 / $373.36	Professional		$172.09	$218.25	$373.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,635.80 / $1,909.47 / $2,601.23	Facility		$1,635.80	$1,909.47	$2,601.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.86 / $190.65 / $313.70	Professional		$49.86	$190.65	$313.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.35 / $280.60 / $493.11	Professional		$180.35	$280.60	$493.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $305.77 / $1,375.92 / $2,878.00	Facility		$305.77	$1,375.92	$2,878.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $195.15 / $254.81 / $1,505.60	Professional		$195.15	$254.81	$1,505.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $218.36 / $276.43 / $398.03	Professional		$218.36	$276.43	$398.03
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,504.00	Facility		$773.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $242.83 / $295.13 / $389.76	Professional		$242.83	$295.13	$389.76