Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.54 / $673.15 / $4,933.00	Facility		$122.54	$673.15	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.37 / $265.91 / $706.81	Professional		$98.37	$265.91	$706.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,964.38 / $2,696.44 / $6,486.46	Facility		$1,964.38	$2,696.44	$6,486.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $129.47 / $233.06	Professional		$22.01	$129.47	$233.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.37 / $149.37 / $149.37	Facility		$149.37	$149.37	$149.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $279.02 / $1,024.77	Professional		$97.14	$279.02	$1,024.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $122.54 / $673.15 / $4,933.00	Facility		$122.54	$673.15	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $100.40 / $469.02 / $742.88	Professional		$100.40	$469.02	$742.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $372.60 / $462.23 / $653.07	Professional		$372.60	$462.23	$653.07
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,438.00 / $2,029.00	Facility		$464.00	$1,438.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.71 / $591.58 / $853.93	Professional		$161.71	$591.58	$853.93