Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.43 / $1,020.56 / $2,119.00	Facility		$155.43	$1,020.56	$2,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.22 / $205.79 / $331.31	Professional		$109.22	$205.79	$331.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $808.27 / $1,133.68 / $1,772.96	Facility		$808.27	$1,133.68	$1,772.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.46 / $39.77 / $190.62	Professional		$29.46	$39.77	$190.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.57 / $198.57 / $198.57	Facility		$198.57	$198.57	$198.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.18 / $244.30 / $534.79	Professional		$122.18	$244.30	$534.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $155.43 / $1,627.86 / $3,888.81	Facility		$155.43	$1,627.86	$3,888.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $155.12 / $228.01 / $412.86	Professional		$155.12	$228.01	$412.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $189.02 / $230.79 / $326.29	Professional		$189.02	$230.79	$326.29
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 $170.54 / $291.95 / $408.69	Professional		$170.54	$291.95	$408.69