Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.47 / $345.93 / $4,933.00	Facility		$205.47	$345.93	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.57 / $230.40 / $352.71	Professional		$143.57	$230.40	$352.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,521.94 / $1,786.31 / $2,420.16	Facility		$1,521.94	$1,786.31	$2,420.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $163.05 / $257.99	Professional		$39.86	$163.05	$257.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.28 / $221.42 / $453.70	Professional		$142.28	$221.42	$453.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $205.47 / $345.93 / $4,933.00	Facility		$205.47	$345.93	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $197.87 / $259.22 / $432.06	Professional		$197.87	$259.22	$432.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.06 / $216.54 / $328.36	Professional		$32.06	$216.54	$328.36
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 $193.58 / $294.01 / $394.35	Professional		$193.58	$294.01	$394.35