Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.77 / $2,056.00 / $4,933.00	Facility		$137.77	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $142.88 / $206.41	Professional		$99.06	$142.88	$206.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.63 / $870.23 / $1,179.02	Facility		$746.63	$870.23	$1,179.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $152.88 / $240.80	Professional		$29.04	$152.88	$240.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.56 / $171.88 / $265.16	Professional		$99.56	$171.88	$265.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $166.61 / $2,056.00 / $4,933.00	Facility		$166.61	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $137.77 / $166.61 / $263.44	Professional		$137.77	$166.61	$263.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.35 / $136.77 / $196.66	Professional		$111.35	$136.77	$196.66
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $1,996.88 / $4,504.00	Facility		$773.00	$1,996.88	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.87 / $214.38 / $293.27	Professional		$175.87	$214.38	$293.27