Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.70 / $2,056.00 / $4,933.00	Facility		$108.70	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.79 / $144.04 / $256.39	Professional		$77.79	$144.04	$256.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,740.64 / $2,573.53 / $3,553.02	Facility		$1,740.64	$2,573.53	$3,553.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $101.99 / $141.80	Professional		$21.67	$101.99	$141.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.66 / $168.15 / $375.34	Professional		$75.66	$168.15	$375.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $205.54 / $2,056.00 / $4,933.00	Facility		$205.54	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $108.70 / $205.54 / $279.20	Professional		$108.70	$205.54	$279.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.76 / $168.40 / $242.50	Professional		$135.76	$168.40	$242.50
United Facility/Professional Facility Modifier Low / Median / High Price $558.00 / $3,569.00 / $6,029.00	Facility		$558.00	$3,569.00	$6,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.32 / $245.27 / $347.46	Professional		$178.32	$245.27	$347.46