Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.15 / $1,142.53 / $4,933.00	Facility		$120.15	$1,142.53	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $119.04 / $172.00	Professional		$73.20	$119.04	$172.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,015.99 / $1,381.53 / $3,244.33	Facility		$1,015.99	$1,381.53	$3,244.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $73.23 / $126.54	Professional		$20.49	$73.23	$126.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.16 / $119.05 / $181.74	Professional		$79.16	$119.05	$181.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $133.71 / $1,130.78 / $4,933.00	Facility		$133.71	$1,130.78	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $95.35 / $133.71 / $209.38	Professional		$95.35	$133.71	$209.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $102.47 / $146.41	Professional		$81.79	$102.47	$146.41
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 $132.19 / $152.10 / $203.58	Professional		$132.19	$152.10	$203.58