Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.63 / $169.17 / $4,933.00	Facility		$110.63	$169.17	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.75 / $124.20 / $169.17	Professional		$81.75	$124.20	$169.17
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 $24.30 / $85.91 / $185.56	Professional		$24.30	$85.91	$185.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $133.38 / $371.19	Professional		$80.48	$133.38	$371.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $147.63 / $669.70 / $4,933.00	Facility		$147.63	$669.70	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $101.44 / $147.63 / $219.96	Professional		$101.44	$147.63	$219.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.81 / $135.75 / $190.24	Professional		$109.81	$135.75	$190.24
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 $138.50 / $164.90 / $229.89	Professional		$138.50	$164.90	$229.89