Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.90 / $2,056.00 / $4,933.00	Facility		$200.90	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.53 / $244.41 / $420.76	Professional		$141.53	$244.41	$420.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $894.41 / $1,049.77 / $1,422.28	Facility		$894.41	$1,049.77	$1,422.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $240.02 / $450.05	Professional		$46.92	$240.02	$450.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.47 / $269.48 / $515.03	Professional		$142.47	$269.48	$515.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $335.30 / $2,056.00 / $4,933.00	Facility		$335.30	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $208.62 / $335.30 / $503.62	Professional		$208.62	$335.30	$503.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $253.96 / $393.66	Professional		$32.13	$253.96	$393.66
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 $317.83 / $382.55 / $492.84	Professional		$317.83	$382.55	$492.84