Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.55 / $854.09 / $4,933.00	Facility		$165.55	$854.09	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.62 / $177.90 / $248.49	Professional		$126.62	$177.90	$248.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,413.92 / $2,817.79 / $3,838.60	Facility		$2,413.92	$2,817.79	$3,838.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $189.71 / $229.64	Professional		$39.93	$189.71	$229.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.83 / $197.48 / $305.72	Professional		$134.83	$197.48	$305.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $182.26 / $854.09 / $4,933.00	Facility		$182.26	$854.09	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $165.55 / $195.25 / $306.19	Professional		$165.55	$195.25	$306.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.69 / $188.13 / $278.36	Professional		$148.69	$188.13	$278.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,569.00 / $6,036.00	Facility		$1,050.00	$3,569.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.27 / $246.74 / $307.18	Professional		$203.27	$246.74	$307.18