Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.91 / $2,056.00 / $4,933.00	Facility		$101.91	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $101.91 / $105.83	Professional		$74.73	$101.91	$105.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $885.44 / $1,033.58 / $1,408.01	Facility		$885.44	$1,033.58	$1,408.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $114.02 / $189.02	Professional		$21.22	$114.02	$189.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.39 / $123.71 / $166.45	Professional		$74.39	$123.71	$166.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $103.48 / $2,056.00 / $4,933.00	Facility		$103.48	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $90.49 / $103.48 / $138.12	Professional		$90.49	$103.48	$138.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $102.86 / $147.35	Professional		$82.26	$102.86	$147.35
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.87 / $119.89 / $174.37	Professional		$96.87	$119.89	$174.37