Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.24 / $1,288.80 / $4,933.00	Facility		$88.24	$1,288.80	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $278.43 / $522.07	Professional		$69.20	$278.43	$522.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $921.84 / $1,329.59 / $3,169.99	Facility		$921.84	$1,329.59	$3,169.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $85.45 / $119.12	Professional		$17.61	$85.45	$119.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.37 / $118.37 / $118.37	Facility		$118.37	$118.37	$118.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $290.05 / $810.58	Professional		$76.98	$290.05	$810.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $111.18 / $2,056.00 / $4,933.00	Facility		$111.18	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $88.24 / $356.86 / $657.80	Professional		$88.24	$356.86	$657.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $316.92 / $395.19 / $555.39	Professional		$316.92	$395.19	$555.39
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,500.00 / $9,202.00	Facility		$3,296.00	$7,500.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.48 / $477.40 / $709.48	Professional		$374.48	$477.40	$709.48