Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.69 / $620.00 / $4,933.00	Facility		$159.69	$620.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $169.64 / $311.57	Professional		$109.93	$169.64	$311.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $894.41 / $1,049.77 / $1,422.28	Facility		$894.41	$1,049.77	$1,422.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.23 / $141.91 / $217.61	Professional		$31.23	$141.91	$217.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.99 / $178.21 / $335.16	Professional		$111.99	$178.21	$335.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $181.89 / $2,877.00 / $4,933.00	Facility		$181.89	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $161.58 / $199.03 / $311.57	Professional		$161.58	$199.03	$311.57
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 $648.98 / $2,283.00 / $4,504.00	Facility		$648.98	$2,283.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.93 / $214.36 / $298.19	Professional		$179.93	$214.36	$298.19