Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.91 / $2,056.00 / $4,933.00	Facility		$112.91	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.06 / $199.94 / $287.77	Professional		$106.06	$199.94	$287.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $871.10 / $1,015.30 / $1,375.56	Facility		$871.10	$1,015.30	$1,375.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $124.00 / $193.44	Professional		$21.92	$124.00	$193.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.77 / $163.25 / $391.87	Professional		$91.77	$163.25	$391.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $245.86 / $2,056.00 / $4,933.00	Facility		$245.86	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $117.10 / $256.61 / $355.91	Professional		$117.10	$256.61	$355.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.51 / $171.50 / $245.66	Professional		$138.51	$171.50	$245.66
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,594.00	Facility		$773.00	$3,005.00	$4,594.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.18 / $329.87 / $419.55	Professional		$218.18	$329.87	$419.55