Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,878.00 / $2,878.00 / $6,906.00	Facility		$2,878.00	$2,878.00	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.69 / $109.15 / $182.00	Professional		$92.69	$109.15	$182.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $106.57 / $118.54	Professional		$18.12	$106.57	$118.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.16 / $108.78 / $239.92	Professional		$68.16	$108.78	$239.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,878.00 / $2,878.00 / $6,906.00	Facility		$2,878.00	$2,878.00	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $74.79 / $86.75 / $224.28	Professional		$74.79	$86.75	$224.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.58 / $108.31 / $108.31	Professional		$45.58	$108.31	$108.31
United Facility/Professional Facility Modifier Low / Median / High Price $5,261.00 / $5,261.00 / $5,261.00	Facility		$5,261.00	$5,261.00	$5,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.04 / $148.59 / $213.20	Professional		$114.04	$148.59	$213.20