Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.60 / $4,933.00 / $4,933.00	Facility		$100.60	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $100.60 / $143.38	Professional		$77.06	$100.60	$143.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,837.45 / $3,474.92 / $6,667.72	Facility		$1,837.45	$3,474.92	$6,667.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $88.56 / $234.54	Professional		$19.04	$88.56	$234.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.18 / $114.84 / $145.01	Professional		$71.18	$114.84	$145.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $88.92 / $4,933.00 / $4,933.00	Facility		$88.92	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $88.92 / $100.60 / $595.29	Professional		$88.92	$100.60	$595.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $38.76 / $150.03	Professional		$32.44	$38.76	$150.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,006.00 / $4,857.00 / $21,012.00	Facility		$1,006.00	$4,857.00	$21,012.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.48 / $134.16 / $679.92	Professional		$92.48	$134.16	$679.92