Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.31 / $704.18 / $4,933.00	Facility		$101.31	$704.18	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.47 / $130.09 / $177.07	Professional		$85.47	$130.09	$177.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $694.71 / $810.94 / $1,104.72	Facility		$694.71	$810.94	$1,104.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $113.53 / $161.34	Professional		$22.60	$113.53	$161.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.23 / $132.63 / $227.01	Professional		$81.23	$132.63	$227.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $91.70 / $704.18 / $4,933.00	Facility		$91.70	$704.18	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $123.79 / $191.16	Professional		$91.70	$123.79	$191.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $136.45 / $195.19	Professional		$108.90	$136.45	$195.19
United Facility/Professional Facility Modifier Low / Median / High Price $523.17 / $2,704.00 / $4,504.00	Facility		$523.17	$2,704.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.32 / $186.53 / $237.37	Professional		$142.32	$186.53	$237.37