Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.00 / $228.57 / $4,933.00	Facility		$143.00	$228.57	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.12 / $165.54 / $228.57	Professional		$103.12	$165.54	$228.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.84 / $261.10 / $367.35	Facility		$223.84	$261.10	$367.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.49 / $120.41 / $250.09	Professional		$31.49	$120.41	$250.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.27 / $170.46 / $520.82	Professional		$102.27	$170.46	$520.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $191.13 / $2,056.00 / $4,933.00	Facility		$191.13	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $191.13 / $253.81	Professional		$143.00	$191.13	$253.81
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 $1,269.98 / $2,283.00 / $4,504.00	Facility		$1,269.98	$2,283.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.24 / $213.73 / $282.02	Professional		$176.24	$213.73	$282.02