Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.13 / $2,056.00 / $4,933.00	Facility		$57.13	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $112.64 / $275.63	Professional		$40.74	$112.64	$275.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $670.08 / $800.12 / $1,131.34	Facility		$670.08	$800.12	$1,131.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $65.73 / $105.50	Professional		$13.15	$65.73	$105.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.98 / $74.98 / $74.98	Facility		$74.98	$74.98	$74.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $154.16 / $427.97	Professional		$44.10	$154.16	$427.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $145.26 / $2,056.00 / $4,933.00	Facility		$145.26	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $59.33 / $166.32 / $275.63	Professional		$59.33	$166.32	$275.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $159.08 / $197.65 / $279.29	Professional		$159.08	$197.65	$279.29
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,438.00 / $2,029.00	Facility		$464.00	$1,438.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.18 / $202.82 / $346.36	Professional		$164.18	$202.82	$346.36