Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.45 / $4,112.00 / $4,933.00	Facility		$250.45	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.87 / $242.03 / $260.08	Professional		$168.87	$242.03	$260.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $833.00 / $977.70 / $1,324.62	Facility		$833.00	$977.70	$1,324.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $276.27 / $622.35	Professional		$53.40	$276.27	$622.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.02 / $235.78 / $441.59	Professional		$142.02	$235.78	$441.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $194.40 / $4,112.00 / $4,933.00	Facility		$194.40	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $194.16 / $217.72 / $307.72	Professional		$194.16	$217.72	$307.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.87 / $207.69 / $296.69	Professional		$162.87	$207.69	$296.69
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 $189.86 / $235.54 / $311.47	Professional		$189.86	$235.54	$311.47