Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.61 / $656.50 / $9,377.68	Facility		$149.61	$656.50	$9,377.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.45 / $159.59 / $254.75	Professional		$101.45	$159.59	$254.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $903.79 / $1,220.41 / $2,865.97	Facility		$903.79	$1,220.41	$2,865.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $121.71 / $213.28	Professional		$28.20	$121.71	$213.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.81 / $158.11 / $291.02	Professional		$99.81	$158.11	$291.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $149.61 / $656.50 / $4,933.00	Facility		$149.61	$656.50	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $144.06 / $175.39 / $277.77	Professional		$144.06	$175.39	$277.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.48 / $170.21 / $241.06	Professional		$136.48	$170.21	$241.06
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.77 / $199.83 / $277.88	Professional		$167.77	$199.83	$277.88