Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.29 / $2,056.00 / $4,933.00	Facility		$172.29	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.81 / $178.92 / $240.60	Professional		$122.81	$178.92	$240.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,001.72 / $1,175.72 / $1,592.92	Facility		$1,001.72	$1,175.72	$1,592.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.78 / $158.96 / $228.50	Professional		$33.78	$158.96	$228.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.10 / $182.79 / $330.57	Professional		$120.10	$182.79	$330.57
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $174.43 / $2,056.00 / $4,933.00	Facility		$174.43	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $163.94 / $182.14 / $267.23	Professional		$163.94	$182.14	$267.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.38 / $206.65 / $293.37	Professional		$162.38	$206.65	$293.37
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 $173.01 / $220.44 / $289.01	Professional		$173.01	$220.44	$289.01