Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.78 / $114.67 / $4,933.00	Facility		$105.78	$114.67	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.92 / $105.78 / $114.67	Professional		$73.92	$105.78	$114.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,064.98 / $1,241.27 / $1,681.73	Facility		$1,064.98	$1,241.27	$1,681.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.78 / $83.72 / $167.45	Professional		$22.78	$83.72	$167.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $99.20 / $361.12	Professional		$76.20	$99.20	$361.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $105.99 / $2,056.00 / $4,933.00	Facility		$105.99	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $92.41 / $105.99 / $137.78	Professional		$92.41	$105.99	$137.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $101.40 / $144.61	Professional		$82.26	$101.40	$144.61
United Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $1,209.00 / $2,029.00	Facility		$700.00	$1,209.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.90 / $115.29 / $155.86	Professional		$92.90	$115.29	$155.86