Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $1,240.99 / $4,933.00	Facility		$99.97	$1,240.99	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.29 / $204.60 / $568.37	Professional		$77.29	$204.60	$568.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $542.41 / $777.25 / $1,757.73	Facility		$542.41	$777.25	$1,757.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $117.32 / $137.36	Professional		$24.70	$117.32	$137.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.36 / $308.93 / $674.59	Professional		$90.36	$308.93	$674.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $419.68 / $2,521.00 / $4,933.00	Facility		$419.68	$2,521.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $419.68 / $554.35	Professional		$99.97	$419.68	$554.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $299.14 / $370.31 / $518.11	Professional		$299.14	$370.31	$518.11
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,594.00	Facility		$773.00	$3,005.00	$4,594.00
United Facility/Professional Professional Modifier Low / Median / High Price $417.05 / $578.65 / $747.92	Professional		$417.05	$578.65	$747.92