Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.62 / $2,056.00 / $4,933.00	Facility		$174.62	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.19 / $174.62 / $317.61	Professional		$138.19	$174.62	$317.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $592.72 / $800.36 / $1,879.53	Facility		$592.72	$800.36	$1,879.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.40 / $665.94 / $1,373.50	Professional		$157.40	$665.94	$1,373.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.99 / $213.99 / $235.18	Professional		$213.99	$213.99	$235.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $177.67 / $2,056.00 / $4,933.00	Facility		$177.67	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $174.62 / $177.67 / $232.97	Professional		$174.62	$177.67	$232.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $139.37 / $154.86	Professional		$30.00	$139.37	$154.86
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.83 / $207.71 / $300.24	Professional		$169.83	$207.71	$300.24