Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.28 / $101.28 / $5,628.75	Facility		$101.28	$101.28	$5,628.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.58 / $101.28 / $101.28	Professional		$73.58	$101.28	$101.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,963.95 / $2,292.52 / $3,123.04	Facility		$1,963.95	$2,292.52	$3,123.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $84.47 / $127.58	Professional		$23.09	$84.47	$127.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.82 / $175.82 / $292.58	Professional		$175.82	$175.82	$292.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $79.98 / $79.98 / $4,917.75	Facility		$79.98	$79.98	$4,917.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $91.02 / $137.71	Professional		$79.98	$91.02	$137.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $102.86 / $147.35	Professional		$82.26	$102.86	$147.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,857.00 / $6,327.00	Facility		$1,527.00	$4,857.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $101.35 / $138.25	Professional		$88.43	$101.35	$138.25