Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.74 / $185.47 / $4,933.00	Facility		$111.74	$185.47	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $104.64 / $185.47	Professional		$73.00	$104.64	$185.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,325.52 / $3,881.88 / $5,288.19	Facility		$3,325.52	$3,881.88	$5,288.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.12 / $141.91 / $223.53	Professional		$24.12	$141.91	$223.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $132.21 / $227.62	Professional		$86.98	$132.21	$227.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $99.11 / $233.69 / $4,933.00	Facility		$99.11	$233.69	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $99.11 / $127.41 / $233.69	Professional		$99.11	$127.41	$233.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $136.45 / $195.19	Professional		$108.90	$136.45	$195.19
United Facility/Professional Facility Modifier Low / Median / High Price $3,598.44 / $7,855.00 / $12,184.00	Facility		$3,598.44	$7,855.00	$12,184.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.49 / $135.93 / $245.86	Professional		$108.49	$135.93	$245.86