Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.72 / $2,056.00 / $4,933.00	Facility		$132.72	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.38 / $120.06 / $132.72	Professional		$93.38	$120.06	$132.72
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 $27.91 / $131.94 / $173.93	Professional		$27.91	$131.94	$173.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.57 / $128.58 / $249.82	Professional		$83.57	$128.58	$249.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $112.38 / $2,056.00 / $4,933.00	Facility		$112.38	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $104.56 / $114.52 / $167.58	Professional		$104.56	$114.52	$167.58
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 $1,450.00 / $5,819.00 / $7,355.00	Facility		$1,450.00	$5,819.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.70 / $139.02 / $173.81	Professional		$105.70	$139.02	$173.81