Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.13 / $380.16 / $4,933.00	Facility		$182.13	$380.16	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.96 / $213.45 / $301.72	Professional		$143.96	$213.45	$301.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,866.97 / $2,176.02 / $2,948.15	Facility		$1,866.97	$2,176.02	$2,948.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.07 / $131.03 / $233.19	Professional		$37.07	$131.03	$233.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.30 / $249.98 / $386.08	Professional		$148.30	$249.98	$386.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $229.48 / $2,056.00 / $4,933.00	Facility		$229.48	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $182.13 / $233.84 / $393.72	Professional		$182.13	$233.84	$393.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $192.13 / $238.67 / $337.91	Professional		$192.13	$238.67	$337.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,819.00 / $8,339.00	Facility		$2,524.00	$5,819.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $256.05 / $314.70 / $440.43	Professional		$256.05	$314.70	$440.43