Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.04 / $1,924.00 / $4,933.00	Facility		$134.04	$1,924.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.97 / $208.31 / $344.66	Professional		$89.97	$208.31	$344.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $666.04 / $966.73 / $2,324.01	Facility		$666.04	$966.73	$2,324.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $39.71 / $190.63	Professional		$27.00	$39.71	$190.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.71 / $194.49 / $387.05	Professional		$93.71	$194.49	$387.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $218.23 / $2,056.00 / $4,933.00	Facility		$218.23	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $229.07 / $373.41	Professional		$139.19	$229.07	$373.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $217.81 / $271.47 / $385.14	Professional		$217.81	$271.47	$385.14
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 $221.11 / $278.97 / $365.49	Professional		$221.11	$278.97	$365.49