Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.69 / $2,464.71 / $4,933.00	Facility		$150.69	$2,464.71	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.45 / $831.40 / $1,551.32	Professional		$114.45	$831.40	$1,551.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.89 / $1,839.76 / $2,853.21	Facility		$1,230.89	$1,839.76	$2,853.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.97 / $176.28 / $199.20	Professional		$29.97	$176.28	$199.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.06 / $457.38 / $2,111.98	Professional		$127.06	$457.38	$2,111.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $949.73 / $2,464.71 / $4,933.00	Facility		$949.73	$2,464.71	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $137.55 / $949.73 / $1,661.65	Professional		$137.55	$949.73	$1,661.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $939.62 / $1,175.27 / $1,704.35	Professional		$939.62	$1,175.27	$1,704.35
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,111.47 / $1,418.83 / $1,939.42	Professional		$1,111.47	$1,418.83	$1,939.42