Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.26 / $200.94 / $4,933.00	Facility		$124.26	$200.94	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.99 / $143.78 / $200.94	Professional		$94.99	$143.78	$200.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $861.92 / $1,004.60 / $1,361.07	Facility		$861.92	$1,004.60	$1,361.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $99.29 / $198.58	Professional		$30.18	$99.29	$198.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.20 / $149.27 / $434.50	Professional		$92.20	$149.27	$434.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $187.66 / $4,112.00 / $4,933.00	Facility		$187.66	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $124.26 / $187.66 / $264.83	Professional		$124.26	$187.66	$264.83
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 $168.25 / $205.63 / $273.08	Professional		$168.25	$205.63	$273.08