Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.99 / $2,408.50 / $4,933.00	Facility		$148.99	$2,408.50	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $136.13 / $208.62	Professional		$95.27	$136.13	$208.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,200.40 / $2,568.53 / $3,499.05	Facility		$2,200.40	$2,568.53	$3,499.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.61 / $185.92 / $298.27	Professional		$31.61	$185.92	$298.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.32 / $155.36 / $239.11	Professional		$83.32	$155.36	$239.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $125.62 / $1,448.37 / $4,933.00	Facility		$125.62	$1,448.37	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $114.98 / $140.02 / $222.00	Professional		$114.98	$140.02	$222.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $102.47 / $146.41	Professional		$81.79	$102.47	$146.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,819.00 / $8,339.00	Facility		$2,524.00	$5,819.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.08 / $147.97 / $203.72	Professional		$122.08	$147.97	$203.72