Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.69 / $2,877.00 / $4,933.00	Facility		$153.69	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.70 / $153.69 / $160.79	Professional		$113.70	$153.69	$160.79
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 $33.18 / $126.89 / $217.13	Professional		$33.18	$126.89	$217.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.92 / $149.69 / $266.81	Professional		$114.92	$149.69	$266.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $139.82 / $2,877.00 / $4,933.00	Facility		$139.82	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $137.25 / $148.22 / $225.27	Professional		$137.25	$148.22	$225.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $102.86 / $147.35	Professional		$82.26	$102.86	$147.35
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 $144.66 / $178.49 / $221.74	Professional		$144.66	$178.49	$221.74