Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.08 / $1,057.91 / $4,933.00	Facility		$149.08	$1,057.91	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.62 / $149.08 / $260.69	Professional		$103.62	$149.08	$260.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $930.59 / $1,092.24 / $1,479.81	Facility		$930.59	$1,092.24	$1,479.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $42.07 / $201.58	Professional		$29.80	$42.07	$201.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.15 / $155.94 / $295.55	Professional		$106.15	$155.94	$295.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $150.71 / $1,057.91 / $4,933.00	Facility		$150.71	$1,057.91	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $133.81 / $162.55 / $286.94	Professional		$133.81	$162.55	$286.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.38 / $206.65 / $293.37	Professional		$162.38	$206.65	$293.37
United Facility/Professional Facility Modifier Low / Median / High Price $542.82 / $2,704.00 / $4,504.00	Facility		$542.82	$2,704.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.31 / $190.99 / $242.34	Professional		$152.31	$190.99	$242.34