Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.45 / $962.00 / $4,933.00	Facility		$97.45	$962.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $108.73 / $186.94	Professional		$76.73	$108.73	$186.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,808.52 / $2,107.89 / $2,855.85	Facility		$1,808.52	$2,107.89	$2,855.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $115.91 / $164.71	Professional		$20.74	$115.91	$164.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.78 / $125.00 / $333.79	Professional		$85.78	$125.00	$333.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $99.20 / $962.00 / $4,933.00	Facility		$99.20	$962.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $97.45 / $121.64 / $195.37	Professional		$97.45	$121.64	$195.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $101.32 / $141.24	Professional		$81.79	$101.32	$141.24
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.64 / $141.72 / $185.58	Professional		$117.64	$141.72	$185.58