Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.20 / $195.24 / $4,307.08	Facility		$80.20	$195.24	$4,307.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $156.96 / $290.68	Professional		$77.23	$156.96	$290.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,510.28 / $1,772.63 / $2,401.63	Facility		$1,510.28	$1,772.63	$2,401.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $72.09 / $110.86	Professional		$15.32	$72.09	$110.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.17 / $178.49 / $356.97	Professional		$61.17	$178.49	$356.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $80.20 / $280.58 / $4,933.00	Facility		$80.20	$280.58	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $100.18 / $264.25 / $367.93	Professional		$100.18	$264.25	$367.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.01 / $169.36 / $242.00	Professional		$136.01	$169.36	$242.00
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 $239.28 / $309.64 / $400.26	Professional		$239.28	$309.64	$400.26