Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.27 / $2,056.00 / $4,933.00	Facility		$201.27	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.56 / $209.01 / $312.79	Professional		$137.56	$209.01	$312.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,243.98 / $1,460.06 / $1,978.15	Facility		$1,243.98	$1,460.06	$1,978.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $260.33 / $390.50	Professional		$39.78	$260.33	$390.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $225.02 / $454.69	Professional		$138.63	$225.02	$454.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $247.65 / $2,056.00 / $4,933.00	Facility		$247.65	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $209.01 / $247.65 / $367.34	Professional		$209.01	$247.65	$367.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.09 / $205.65 / $294.89	Professional		$153.09	$205.65	$294.89
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 $236.39 / $305.66 / $400.74	Professional		$236.39	$305.66	$400.74