Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.90 / $2,877.00 / $4,933.00	Facility		$94.90	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.69 / $98.86 / $154.04	Professional		$77.69	$98.86	$154.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,138.48 / $2,496.26 / $3,400.59	Facility		$2,138.48	$2,496.26	$3,400.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $77.45 / $131.28	Professional		$20.87	$77.45	$131.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.63 / $117.43 / $189.83	Professional		$81.63	$117.43	$189.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $98.18 / $2,877.00 / $4,933.00	Facility		$98.18	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $98.18 / $114.55 / $160.29	Professional		$98.18	$114.55	$160.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.81 / $136.69 / $195.77	Professional		$109.81	$136.69	$195.77
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 $107.07 / $129.27 / $203.94	Professional		$107.07	$129.27	$203.94