Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.12 / $464.00 / $4,933.00	Facility		$150.12	$464.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.92 / $162.83 / $288.44	Professional		$121.92	$162.83	$288.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,015.99 / $1,185.96 / $1,615.61	Facility		$1,015.99	$1,185.96	$1,615.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $173.62 / $246.73	Professional		$31.07	$173.62	$246.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.82 / $175.34 / $274.67	Professional		$123.82	$175.34	$274.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $150.12 / $2,056.00 / $4,933.00	Facility		$150.12	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $144.11 / $181.08 / $275.87	Professional		$144.11	$181.08	$275.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $170.59 / $244.30	Professional		$137.22	$170.59	$244.30
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,504.00	Facility		$773.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.97 / $208.98 / $277.58	Professional		$174.97	$208.98	$277.58