Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.20 / $760.00 / $3,119.79	Facility		$97.20	$760.00	$3,119.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.76 / $220.44 / $531.83	Professional		$75.76	$220.44	$531.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,104.78 / $2,456.91 / $3,346.99	Facility		$2,104.78	$2,456.91	$3,346.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $126.02 / $266.99	Professional		$24.00	$126.02	$266.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.73 / $234.16 / $704.61	Professional		$87.73	$234.16	$704.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $97.20 / $760.00 / $3,119.79	Facility		$97.20	$760.00	$3,119.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $97.20 / $465.36 / $629.41	Professional		$97.20	$465.36	$629.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $299.14 / $375.06 / $536.38	Professional		$299.14	$375.06	$536.38
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $516.24 / $643.08 / $905.75	Professional		$516.24	$643.08	$905.75