Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.20 / $2,056.00 / $4,933.00	Facility		$186.20	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.76 / $238.30 / $417.16	Professional		$133.76	$238.30	$417.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,530.93 / $1,805.88 / $2,540.73	Facility		$1,530.93	$1,805.88	$2,540.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $147.13 / $285.73	Professional		$35.97	$147.13	$285.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.65 / $243.65 / $243.65	Facility		$243.65	$243.65	$243.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.66 / $310.39 / $678.19	Professional		$156.66	$310.39	$678.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $321.29 / $2,056.00 / $4,933.00	Facility		$321.29	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $193.36 / $321.29 / $489.93	Professional		$193.36	$321.29	$489.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $243.32 / $298.02 / $418.98	Professional		$243.32	$298.02	$418.98
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 $332.05 / $389.39 / $528.60	Professional		$332.05	$389.39	$528.60