Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.73 / $1,738.85 / $4,933.00	Facility		$45.73	$1,738.85	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $123.92 / $191.38	Professional		$36.15	$123.92	$191.38
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 $8.72 / $46.83 / $66.56	Professional		$8.72	$46.83	$66.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $82.26 / $264.91	Professional		$35.79	$82.26	$264.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $163.22 / $1,738.85 / $4,933.00	Facility		$163.22	$1,738.85	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $45.73 / $163.22 / $220.18	Professional		$45.73	$163.22	$220.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.97 / $136.65 / $196.03	Professional		$109.97	$136.65	$196.03
United Facility/Professional Facility Modifier Low / Median / High Price $484.60 / $2,704.00 / $4,504.00	Facility		$484.60	$2,704.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.59 / $207.07 / $263.89	Professional		$176.59	$207.07	$263.89