Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.75 / $534.69 / $4,933.00	Facility		$58.75	$534.69	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.67 / $135.30 / $195.44	Professional		$45.67	$135.30	$195.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,059.21 / $1,236.42 / $1,684.34	Facility		$1,059.21	$1,236.42	$1,684.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $19.51 / $160.63	Professional		$12.28	$19.51	$160.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.19 / $117.69 / $294.63	Professional		$53.19	$117.69	$294.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $61.68 / $1,156.84 / $4,933.00	Facility		$61.68	$1,156.84	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $58.75 / $162.33 / $246.25	Professional		$58.75	$162.33	$246.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.01 / $170.07 / $243.46	Professional		$136.01	$170.07	$243.46
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 $177.56 / $212.21 / $277.80	Professional		$177.56	$212.21	$277.80