Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.04 / $2,877.00 / $4,933.00	Facility		$276.04	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.43 / $265.97 / $286.66	Professional		$185.43	$265.97	$286.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,042.85 / $1,224.02 / $1,658.35	Facility		$1,042.85	$1,224.02	$1,658.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $320.20 / $736.46	Professional		$54.44	$320.20	$736.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.63 / $263.22 / $485.56	Professional		$156.63	$263.22	$485.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $221.73 / $2,877.00 / $4,933.00	Facility		$221.73	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $213.78 / $244.32 / $349.74	Professional		$213.78	$244.32	$349.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $191.62 / $242.02 / $345.78	Professional		$191.62	$242.02	$345.78
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $225.83 / $267.45 / $369.09	Professional		$225.83	$267.45	$369.09