Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.06 / $217.00 / $4,933.00	Facility		$161.06	$217.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.38 / $161.06 / $217.00	Professional		$128.38	$161.06	$217.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $909.82 / $1,061.27 / $1,493.13	Facility		$909.82	$1,061.27	$1,493.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $141.94 / $218.47	Professional		$34.71	$141.94	$218.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.38 / $193.82 / $555.35	Professional		$140.38	$193.82	$555.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $188.25 / $217.00 / $4,933.00	Facility		$188.25	$217.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $161.06 / $188.25 / $251.80	Professional		$161.06	$188.25	$251.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $168.68 / $236.61	Professional		$137.22	$168.68	$236.61
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 $177.02 / $213.34 / $287.76	Professional		$177.02	$213.34	$287.76