Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.08 / $2,056.00 / $4,933.00	Facility		$97.08	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $97.08 / $97.08	Professional		$72.23	$97.08	$97.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,749.54 / $2,042.24 / $2,782.09	Facility		$1,749.54	$2,042.24	$2,782.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $122.87 / $219.42	Professional		$22.23	$122.87	$219.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.53 / $106.96 / $157.00	Professional		$71.53	$106.96	$157.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $79.98 / $2,056.00 / $4,933.00	Facility		$79.98	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $87.39 / $133.47	Professional		$79.98	$87.39	$133.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $68.34 / $97.88	Professional		$54.90	$68.34	$97.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,857.00 / $6,327.00	Facility		$1,527.00	$4,857.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $105.10 / $135.63	Professional		$85.60	$105.10	$135.63