Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.13 / $2,056.00 / $4,933.00	Facility		$150.13	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.39 / $135.51 / $150.13	Professional		$107.39	$135.51	$150.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,737.67 / $4,047.64 / $5,588.17	Facility		$2,737.67	$4,047.64	$5,588.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $127.06 / $197.99	Professional		$30.05	$127.06	$197.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.60 / $144.16 / $285.14	Professional		$102.60	$144.16	$285.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $128.72 / $2,056.00 / $4,933.00	Facility		$128.72	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $118.41 / $129.69 / $189.63	Professional		$118.41	$129.69	$189.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.55 / $138.75 / $201.33	Professional		$107.55	$138.75	$201.33
United Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $6,873.00 / $8,911.00	Facility		$788.00	$6,873.00	$8,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.04 / $157.29 / $212.86	Professional		$120.04	$157.29	$212.86