Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.24 / $1,102.79 / $4,933.00	Facility		$157.24	$1,102.79	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.37 / $155.93 / $187.62	Professional		$119.37	$155.93	$187.62
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 $33.35 / $144.11 / $218.23	Professional		$33.35	$144.11	$218.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.50 / $160.40 / $249.43	Professional		$119.50	$160.40	$249.43
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $169.06 / $1,102.79 / $4,933.00	Facility		$169.06	$1,102.79	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $142.28 / $169.06 / $240.47	Professional		$142.28	$169.06	$240.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.08 / $172.74 / $248.88	Professional		$135.08	$172.74	$248.88
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 $172.47 / $195.71 / $260.29	Professional		$172.47	$195.71	$260.29