Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.29 / $2,056.00 / $4,933.00	Facility		$310.29	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.07 / $322.22 / $570.61	Professional		$217.07	$322.22	$570.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $967.52 / $1,135.58 / $1,538.53	Facility		$967.52	$1,135.58	$1,538.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.22 / $274.51 / $457.53	Professional		$62.22	$274.51	$457.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.88 / $384.96 / $755.59	Professional		$216.88	$384.96	$755.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $425.72 / $2,056.00 / $4,933.00	Facility		$425.72	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $322.22 / $425.72 / $670.15	Professional		$322.22	$425.72	$670.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $344.03 / $508.99	Professional		$32.13	$344.03	$508.99
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $413.49 / $496.28 / $675.47	Professional		$413.49	$496.28	$675.47