Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.18 / $618.20 / $4,933.00	Facility		$136.18	$618.20	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $153.66 / $234.10	Professional		$101.29	$153.66	$234.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $643.32 / $763.86 / $1,049.14	Facility		$643.32	$763.86	$1,049.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $114.66 / $219.16	Professional		$27.60	$114.66	$219.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.07 / $179.17 / $365.64	Professional		$114.07	$179.17	$365.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $157.87 / $618.20 / $4,933.00	Facility		$157.87	$618.20	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $118.62 / $171.58 / $280.49	Professional		$118.62	$171.58	$280.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.34 / $153.84 / $227.02	Professional		$116.34	$153.84	$227.02
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,438.00 / $1,844.00	Facility		$300.00	$1,438.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.02 / $221.18 / $313.67	Professional		$176.02	$221.18	$313.67