Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.06 / $2,877.00 / $4,933.00	Facility		$282.06	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.93 / $338.55 / $592.55	Professional		$197.93	$338.55	$592.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $967.52 / $1,135.58 / $1,538.53	Facility		$967.52	$1,135.58	$1,538.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.93 / $238.02 / $368.35	Professional		$61.93	$238.02	$368.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.45 / $381.08 / $752.52	Professional		$195.45	$381.08	$752.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $373.08 / $2,877.00 / $4,933.00	Facility		$373.08	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $292.89 / $410.38 / $753.35	Professional		$292.89	$410.38	$753.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $349.58 / $527.89	Professional		$32.24	$349.58	$527.89
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 $412.76 / $514.74 / $739.48	Professional		$412.76	$514.74	$739.48