Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.12 / $376.76 / $4,933.00	Facility		$117.12	$376.76	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.39 / $213.15 / $299.02	Professional		$91.39	$213.15	$299.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $648.38 / $756.86 / $1,031.05	Facility		$648.38	$756.86	$1,031.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.81 / $156.05 / $243.44	Professional		$24.81	$156.05	$243.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.66 / $206.09 / $445.50	Professional		$106.66	$206.09	$445.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $147.57 / $2,740.00 / $4,933.00	Facility		$147.57	$2,740.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $117.12 / $268.33 / $376.76	Professional		$117.12	$268.33	$376.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.70 / $238.43 / $341.35	Professional		$190.70	$238.43	$341.35
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $2,580.00 / $4,504.00	Facility		$773.00	$2,580.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $293.30 / $335.20 / $446.93	Professional		$293.30	$335.20	$446.93