Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.01 / $165.89 / $4,933.00	Facility		$116.01	$165.89	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.62 / $120.47 / $165.89	Professional		$92.62	$120.47	$165.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.43 / $865.48 / $1,179.02	Facility		$741.43	$865.48	$1,179.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $140.66 / $251.18	Professional		$23.69	$140.66	$251.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.74 / $153.28 / $221.62	Professional		$88.74	$153.28	$221.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $145.43 / $159.75 / $4,933.00	Facility		$145.43	$159.75	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $116.85 / $145.43 / $213.65	Professional		$116.85	$145.43	$213.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.81 / $136.69 / $195.77	Professional		$109.81	$136.69	$195.77
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,504.00	Facility		$773.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $165.05 / $240.96	Professional		$143.31	$165.05	$240.96