Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.22 / $189.16 / $4,933.00	Facility		$81.22	$189.16	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.97 / $105.61 / $150.13	Professional		$60.97	$105.61	$150.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $638.24 / $743.89 / $1,007.85	Facility		$638.24	$743.89	$1,007.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $80.15 / $128.24	Professional		$16.57	$80.15	$128.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.43 / $109.06 / $277.68	Professional		$59.43	$109.06	$277.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $1,346.50 / $4,933.00	Facility		$102.33	$1,346.50	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $81.22 / $139.33 / $189.16	Professional		$81.22	$139.33	$189.16
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 $125.38 / $155.63 / $208.86	Professional		$125.38	$155.63	$208.86