Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.23 / $311.52 / $4,933.00	Facility		$95.23	$311.52	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.87 / $111.06 / $203.12	Professional		$73.87	$111.06	$203.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,180.91 / $2,541.92 / $3,443.90	Facility		$2,180.91	$2,541.92	$3,443.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.45 / $87.23 / $133.07	Professional		$17.45	$87.23	$133.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.78 / $113.11 / $353.93	Professional		$71.78	$113.11	$353.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $96.94 / $762.80 / $4,933.00	Facility		$96.94	$762.80	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $95.23 / $119.20 / $192.93	Professional		$95.23	$119.20	$192.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.21 / $119.07 / $168.26	Professional		$89.21	$119.07	$168.26
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 $116.31 / $136.41 / $178.66	Professional		$116.31	$136.41	$178.66