Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.76 / $4,933.00 / $4,933.00	Facility		$286.76	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.11 / $242.09 / $289.17	Professional		$187.11	$242.09	$289.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,153.41 / $1,344.34 / $1,821.36	Facility		$1,153.41	$1,344.34	$1,821.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.74 / $202.34 / $468.70	Professional		$63.74	$202.34	$468.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.77 / $280.89 / $472.02	Professional		$211.77	$280.89	$472.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $218.32 / $4,933.00 / $4,933.00	Facility		$218.32	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $218.32 / $244.51 / $364.87	Professional		$218.32	$244.51	$364.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $191.62 / $242.09 / $349.05	Professional		$191.62	$242.09	$349.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $249.93 / $296.02 / $405.94	Professional		$249.93	$296.02	$405.94