Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.73 / $2,056.00 / $4,933.00	Facility		$78.73	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.30 / $111.52 / $193.92	Professional		$57.30	$111.52	$193.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $634.05 / $870.36 / $2,093.69	Facility		$634.05	$870.36	$2,093.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $91.13 / $152.06	Professional		$15.49	$91.13	$152.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.94 / $104.94 / $104.94	Facility		$104.94	$104.94	$104.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.59 / $133.08 / $328.90	Professional		$62.59	$133.08	$328.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $135.30 / $2,056.00 / $4,933.00	Facility		$135.30	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $136.50 / $225.47	Professional		$78.73	$136.50	$225.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.54 / $131.84 / $186.37	Professional		$107.54	$131.84	$186.37
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,438.00 / $2,029.00	Facility		$464.00	$1,438.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.54 / $181.49 / $304.19	Professional		$111.54	$181.49	$304.19