Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.43 / $487.06 / $4,933.00	Facility		$111.43	$487.06	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $169.28 / $415.24	Professional		$79.20	$169.28	$415.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.23 / $362.98 / $870.35	Facility		$266.23	$362.98	$870.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.15 / $85.94 / $150.62	Professional		$23.15	$85.94	$150.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.23 / $275.29 / $627.82	Professional		$91.23	$275.29	$627.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $127.49 / $2,056.00 / $4,933.00	Facility		$127.49	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $94.37 / $326.01 / $443.47	Professional		$94.37	$326.01	$443.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $242.43 / $302.43 / $438.52	Professional		$242.43	$302.43	$438.52
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 $181.24 / $420.45 / $612.64	Professional		$181.24	$420.45	$612.64