Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.21 / $2,056.00 / $4,933.00	Facility		$82.21	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.19 / $107.66 / $210.23	Professional		$61.19	$107.66	$210.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.08 / $176.06 / $243.07	Facility		$119.08	$176.06	$243.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $81.93 / $111.68	Professional		$17.57	$81.93	$111.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.91 / $139.97 / $311.85	Professional		$68.91	$139.97	$311.85
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $126.25 / $2,056.00 / $4,933.00	Facility		$126.25	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $82.21 / $147.71 / $227.09	Professional		$82.21	$147.71	$227.09
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 $1,050.00 / $4,857.00 / $6,036.00	Facility		$1,050.00	$4,857.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $175.09 / $257.19	Professional		$143.31	$175.09	$257.19