Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.16 / $2,056.00 / $4,933.00	Facility		$135.16	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.23 / $120.50 / $135.16	Professional		$99.23	$120.50	$135.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $787.77 / $1,164.72 / $1,561.27	Facility		$787.77	$1,164.72	$1,561.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $101.65 / $173.93	Professional		$26.58	$101.65	$173.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.37 / $139.16 / $286.73	Professional		$103.37	$139.16	$286.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $118.41 / $2,056.00 / $4,933.00	Facility		$118.41	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $104.70 / $118.41 / $171.74	Professional		$104.70	$118.41	$171.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $102.24 / $147.23	Professional		$82.26	$102.24	$147.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $4,857.00 / $6,036.00	Facility		$1,050.00	$4,857.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $146.80 / $190.55	Professional		$112.20	$146.80	$190.55