Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.31 / $2,877.00 / $4,933.00	Facility		$148.31	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.66 / $159.03 / $314.14	Professional		$123.66	$159.03	$314.14
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 $27.77 / $102.08 / $181.68	Professional		$27.77	$102.08	$181.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.42 / $199.16 / $427.68	Professional		$114.42	$199.16	$427.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $207.16 / $2,877.00 / $4,933.00	Facility		$207.16	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $153.81 / $232.01 / $318.94	Professional		$153.81	$232.01	$318.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $191.82 / $242.09 / $354.75	Professional		$191.82	$242.09	$354.75
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 $211.97 / $285.37 / $433.25	Professional		$211.97	$285.37	$433.25