Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.57 / $2,056.00 / $4,933.00	Facility		$247.57	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.68 / $247.56 / $256.74	Professional		$160.68	$247.56	$256.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,634.69 / $3,070.82 / $4,160.47	Facility		$2,634.69	$3,070.82	$4,160.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.59 / $285.83 / $450.20	Professional		$48.59	$285.83	$450.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.82 / $190.40 / $379.86	Professional		$149.82	$190.40	$379.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $213.70 / $2,056.00 / $4,933.00	Facility		$213.70	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $189.86 / $226.86 / $312.82	Professional		$189.86	$226.86	$312.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $166.45 / $203.84 / $278.16	Professional		$166.45	$203.84	$278.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,500.00 / $10,556.00	Facility		$2,500.00	$7,500.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.69 / $233.38 / $314.58	Professional		$196.69	$233.38	$314.58