Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.97 / $620.00 / $2,877.00	Facility		$121.97	$620.00	$2,877.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.47 / $122.79 / $225.11	Professional		$88.47	$122.79	$225.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $943.85 / $1,100.08 / $1,490.44	Facility		$943.85	$1,100.08	$1,490.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $85.62 / $152.44	Professional		$20.68	$85.62	$152.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.17 / $128.28 / $464.71	Professional		$90.17	$128.28	$464.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $124.16 / $167.15 / $4,933.00	Facility		$124.16	$167.15	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $110.98 / $135.06 / $211.79	Professional		$110.98	$135.06	$211.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.22 / $119.07 / $168.26	Professional		$89.22	$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 $125.70 / $150.44 / $195.87	Professional		$125.70	$150.44	$195.87