Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.74 / $4,933.00 / $4,933.00	Facility		$106.74	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.94 / $149.91 / $775.04	Professional		$85.94	$149.91	$775.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,260.63 / $2,671.09 / $5,244.97	Facility		$1,260.63	$2,671.09	$5,244.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.68 / $142.22 / $182.86	Professional		$128.68	$142.22	$182.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.88 / $247.83 / $1,530.07	Professional		$97.88	$247.83	$1,530.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $196.93 / $4,933.00 / $4,933.00	Facility		$196.93	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $230.40 / $775.04	Professional		$106.74	$230.40	$775.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $528.60 / $662.65 / $977.62	Professional		$528.60	$662.65	$977.62
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,036.00	Facility		$850.00	$4,645.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.36 / $288.07 / $755.03	Professional		$184.36	$288.07	$755.03