Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.34 / $2,056.00 / $4,933.00	Facility		$200.34	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.82 / $254.14 / $452.27	Professional		$147.82	$254.14	$452.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,522.80 / $1,796.29 / $2,527.23	Facility		$1,522.80	$1,796.29	$2,527.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $171.22 / $273.83	Professional		$33.52	$171.22	$273.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.83 / $266.83 / $266.83	Facility		$266.83	$266.83	$266.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.41 / $333.63 / $729.65	Professional		$164.41	$333.63	$729.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $338.41 / $2,056.00 / $4,933.00	Facility		$338.41	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $196.13 / $338.41 / $537.54	Professional		$196.13	$338.41	$537.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $270.13 / $329.90 / $465.58	Professional		$270.13	$329.90	$465.58
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,438.00 / $2,029.00	Facility		$464.00	$1,438.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $347.04 / $404.28 / $615.03	Professional		$347.04	$404.28	$615.03