Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.68 / $2,056.00 / $4,933.00	Facility		$157.68	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.02 / $208.47 / $347.89	Professional		$111.02	$208.47	$347.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $789.93 / $1,107.95 / $1,732.73	Facility		$789.93	$1,107.95	$1,732.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.88 / $140.63 / $210.95	Professional		$29.88	$140.63	$210.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.46 / $201.46 / $201.46	Facility		$201.46	$201.46	$201.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.27 / $247.10 / $541.17	Professional		$124.27	$247.10	$541.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $230.97 / $2,443.66 / $4,933.00	Facility		$230.97	$2,443.66	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $151.84 / $230.97 / $415.61	Professional		$151.84	$230.97	$415.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $189.02 / $230.79 / $326.29	Professional		$189.02	$230.79	$326.29
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,504.00	Facility		$773.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $265.98 / $305.52 / $467.61	Professional		$265.98	$305.52	$467.61