Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.41 / $590.66 / $4,933.00	Facility		$124.41	$590.66	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $176.21 / $342.17	Professional		$80.70	$176.21	$342.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,503.12 / $1,764.22 / $2,390.23	Facility		$1,503.12	$1,764.22	$2,390.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.74 / $116.68 / $157.31	Professional		$26.74	$116.68	$157.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.87 / $166.65 / $327.64	Professional		$83.87	$166.65	$327.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $197.26 / $936.72 / $4,933.00	Facility		$197.26	$936.72	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $124.41 / $216.98 / $370.65	Professional		$124.41	$216.98	$370.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.53 / $236.99 / $335.79	Professional		$190.53	$236.99	$335.79
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 $197.03 / $231.20 / $317.16	Professional		$197.03	$231.20	$317.16