Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.22 / $227.43 / $4,933.00	Facility		$142.22	$227.43	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.34 / $164.69 / $231.94	Professional		$105.34	$164.69	$231.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.68 / $258.37 / $350.05	Facility		$221.68	$258.37	$350.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.49 / $122.89 / $248.08	Professional		$32.49	$122.89	$248.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.54 / $169.70 / $516.51	Professional		$101.54	$169.70	$516.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $188.19 / $2,056.00 / $4,933.00	Facility		$188.19	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $142.21 / $188.19 / $272.10	Professional		$142.21	$188.19	$272.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $122.30 / $170.07 / $241.73	Professional		$122.30	$170.07	$241.73
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,594.00	Facility		$773.00	$3,005.00	$4,594.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.39 / $211.06 / $276.74	Professional		$179.39	$211.06	$276.74