Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.74 / $2,056.00 / $4,933.00	Facility		$121.74	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.42 / $193.16 / $414.71	Professional		$90.42	$193.16	$414.71
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 $25.69 / $100.05 / $194.29	Professional		$25.69	$100.05	$194.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.39 / $232.27 / $559.58	Professional		$100.39	$232.27	$559.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $262.77 / $2,056.00 / $4,933.00	Facility		$262.77	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $111.03 / $291.36 / $450.32	Professional		$111.03	$291.36	$450.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $271.53 / $336.80 / $485.00	Professional		$271.53	$336.80	$485.00
United Facility/Professional Facility Modifier Low / Median / High Price $638.00 / $5,202.00 / $7,238.00	Facility		$638.00	$5,202.00	$7,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $288.95 / $362.45 / $513.91	Professional		$288.95	$362.45	$513.91