Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.47 / $3,751.84 / $9,633.99	Facility		$207.47	$3,751.84	$9,633.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $187.39 / $409.96	Professional		$140.69	$187.39	$409.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,308.71 / $2,694.97 / $3,671.29	Facility		$2,308.71	$2,694.97	$3,671.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $198.75 / $270.88	Professional		$40.04	$198.75	$270.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.05 / $197.89 / $317.82	Professional		$112.05	$197.89	$317.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $163.41 / $3,751.84 / $9,633.99	Facility		$163.41	$3,751.84	$9,633.99
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $154.81 / $188.36 / $356.75	Professional		$154.81	$188.36	$356.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.30 / $171.18 / $245.14	Professional		$137.30	$171.18	$245.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,857.00 / $6,327.00	Facility		$1,527.00	$4,857.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.01 / $199.98 / $265.39	Professional		$169.01	$199.98	$265.39