Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.55 / $123.55 / $123.55	Facility		$123.55	$123.55	$123.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.14 / $115.91 / $123.55	Professional		$85.14	$115.91	$123.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $494.58 / $672.53 / $1,579.35	Facility		$494.58	$672.53	$1,579.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.39 / $126.05 / $166.17	Professional		$25.39	$126.05	$166.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.58 / $156.88 / $208.77	Professional		$79.58	$156.88	$208.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $100.36 / $100.36 / $123.55	Facility		$100.36	$100.36	$123.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $100.36 / $107.16 / $161.86	Professional		$100.36	$107.16	$161.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $83.50 / $98.23	Professional		$75.00	$83.50	$98.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $126.89 / $169.20	Professional		$109.93	$126.89	$169.20