Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.93 / $212.04 / $4,933.00	Facility		$98.93	$212.04	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.43 / $103.87 / $139.86	Professional		$72.43	$103.87	$139.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.27 / $1,274.50 / $2,992.98	Facility		$937.27	$1,274.50	$2,992.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $112.55 / $202.58	Professional		$19.89	$112.55	$202.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $126.86 / $207.59	Professional		$80.23	$126.86	$207.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $110.70 / $252.59 / $4,933.00	Facility		$110.70	$252.59	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $98.93 / $110.70 / $176.22	Professional		$98.93	$110.70	$176.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.81 / $136.69 / $195.77	Professional		$109.81	$136.69	$195.77
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 $120.50 / $137.71 / $183.40	Professional		$120.50	$137.71	$183.40