Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.90 / $2,056.00 / $4,933.00	Facility		$224.90	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.53 / $228.40 / $281.86	Professional		$156.53	$228.40	$281.86
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 $49.18 / $254.51 / $308.10	Professional		$49.18	$254.51	$308.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.63 / $230.02 / $410.48	Professional		$147.63	$230.02	$410.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $223.93 / $2,056.00 / $4,933.00	Facility		$223.93	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $188.06 / $233.55 / $349.52	Professional		$188.06	$233.55	$349.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.74 / $188.25 / $275.92	Professional		$147.74	$188.25	$275.92
United Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $2,580.00 / $4,504.00	Facility		$649.00	$2,580.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.02 / $268.86 / $355.32	Professional		$212.02	$268.86	$355.32