Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.83 / $2,056.00 / $4,933.00	Facility		$62.83	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.77 / $118.02 / $165.08	Professional		$49.77	$118.02	$165.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $587.45 / $877.64 / $2,009.49	Facility		$587.45	$877.64	$2,009.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $56.38 / $67.70	Professional		$11.28	$56.38	$67.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.81 / $128.61 / $267.72	Professional		$59.81	$128.61	$267.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $159.38 / $2,056.00 / $4,933.00	Facility		$159.38	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $62.83 / $159.38 / $195.98	Professional		$62.83	$159.38	$195.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $136.45 / $195.19	Professional		$108.90	$136.45	$195.19
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.20 / $197.84 / $273.22	Professional		$173.20	$197.84	$273.22