Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.19 / $4,933.00 / $4,933.00	Facility		$269.19	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.47 / $266.81 / $279.55	Professional		$183.47	$266.81	$279.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $989.20 / $1,161.03 / $1,573.00	Facility		$989.20	$1,161.03	$1,573.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.78 / $235.80 / $390.06	Professional		$54.78	$235.80	$390.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.77 / $247.63 / $432.77	Professional		$157.77	$247.63	$432.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $230.81 / $269.19 / $4,933.00	Facility		$230.81	$269.19	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $210.93 / $241.06 / $349.52	Professional		$210.93	$241.06	$349.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.87 / $207.69 / $296.69	Professional		$162.87	$207.69	$296.69
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,685.00 / $20,268.00	Facility		$464.00	$1,685.00	$20,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.75 / $251.25 / $341.30	Professional		$212.75	$251.25	$341.30