Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.48 / $2,877.00 / $4,933.00	Facility		$171.48	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.58 / $171.48 / $214.51	Professional		$124.58	$171.48	$214.51
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 $37.42 / $144.44 / $253.13	Professional		$37.42	$144.44	$253.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.77 / $166.13 / $296.16	Professional		$127.77	$166.13	$296.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $139.19 / $3,514.03 / $4,933.00	Facility		$139.19	$3,514.03	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $174.85 / $299.70	Professional		$139.19	$174.85	$299.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $154.73 / $228.20	Professional		$117.74	$154.73	$228.20
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 $151.55 / $181.03 / $248.89	Professional		$151.55	$181.03	$248.89