Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.74 / $2,056.00 / $4,933.00	Facility		$198.74	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.34 / $198.74 / $233.26	Professional		$142.34	$198.74	$233.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,125.56 / $1,313.87 / $1,789.85	Facility		$1,125.56	$1,313.87	$1,789.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $173.24 / $268.08	Professional		$42.61	$173.24	$268.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $200.07 / $354.22	Professional		$155.75	$200.07	$354.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $164.76 / $2,056.00 / $4,933.00	Facility		$164.76	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $164.76 / $198.40 / $243.86	Professional		$164.76	$198.40	$243.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.42 / $172.22 / $251.16	Professional		$123.42	$172.22	$251.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,857.00 / $6,327.00	Facility		$1,527.00	$4,857.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.85 / $198.10 / $278.27	Professional		$170.85	$198.10	$278.27