Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.42 / $2,877.00 / $4,933.00	Facility		$244.42	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.32 / $251.24 / $335.09	Professional		$170.32	$251.24	$335.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $894.41 / $1,049.77 / $1,422.28	Facility		$894.41	$1,049.77	$1,422.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.21 / $244.54 / $333.29	Professional		$53.21	$244.54	$333.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.28 / $257.82 / $452.51	Professional		$173.28	$257.82	$452.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $230.09 / $2,877.00 / $4,933.00	Facility		$230.09	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $230.09 / $254.47 / $384.73	Professional		$230.09	$254.47	$384.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.72 / $233.97 / $341.48	Professional		$155.72	$233.97	$341.48
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.99 / $275.74 / $374.68	Professional		$230.99	$275.74	$374.68