Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.77 / $4,112.00 / $4,933.00	Facility		$151.77	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.09 / $156.19 / $192.83	Professional		$103.09	$156.19	$192.83
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 $32.76 / $52.03 / $202.36	Professional		$32.76	$52.03	$202.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.69 / $147.19 / $264.06	Professional		$115.69	$147.19	$264.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $129.37 / $4,112.00 / $4,933.00	Facility		$129.37	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $129.37 / $156.13 / $210.83	Professional		$129.37	$156.13	$210.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.27 / $138.69 / $205.58	Professional		$93.27	$138.69	$205.58
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 $141.18 / $167.96 / $239.06	Professional		$141.18	$167.96	$239.06