Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.80 / $2,056.00 / $4,933.00	Facility		$100.80	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $100.80 / $133.31	Professional		$72.45	$100.80	$133.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $442.98 / $528.95 / $747.92	Facility		$442.98	$528.95	$747.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $80.27 / $162.03	Professional		$20.39	$80.27	$162.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.94 / $135.94 / $135.94	Facility		$135.94	$135.94	$135.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $116.00 / $242.09	Professional		$75.84	$116.00	$242.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $2,056.00 / $4,933.00	Facility		$96.60	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $104.27 / $174.10	Professional		$96.60	$104.27	$174.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.10 / $99.34 / $139.66	Professional		$81.10	$99.34	$139.66
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,438.00 / $2,029.00	Facility		$464.00	$1,438.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.27 / $121.40 / $164.72	Professional		$100.27	$121.40	$164.72