Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.78 / $576.77 / $4,933.00	Facility		$189.78	$576.77	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.56 / $322.66 / $560.08	Professional		$132.56	$322.66	$560.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,082.02 / $2,443.67 / $3,310.79	Facility		$2,082.02	$2,443.67	$3,310.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $157.79 / $289.60	Professional		$29.51	$157.79	$289.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.13 / $260.25 / $544.46	Professional		$149.13	$260.25	$544.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $193.19 / $576.77 / $5,523.85	Facility		$193.19	$576.77	$5,523.85
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $158.94 / $381.00 / $581.86	Professional		$158.94	$381.00	$581.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $261.71 / $405.58	Professional		$30.69	$261.71	$405.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,640.00 / $6,327.00	Facility		$1,050.00	$3,640.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.13 / $450.36 / $632.78	Professional		$366.13	$450.36	$632.78