Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.75 / $464.00 / $4,933.00	Facility		$173.75	$464.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.71 / $195.85 / $264.89	Professional		$135.71	$195.85	$264.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.89 / $297.08 / $402.51	Facility		$254.89	$297.08	$402.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.27 / $213.84 / $303.87	Professional		$38.27	$213.84	$303.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.22 / $197.63 / $630.16	Professional		$129.22	$197.63	$630.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $176.87 / $269.64 / $4,933.00	Facility		$176.87	$269.64	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $159.93 / $227.73 / $296.04	Professional		$159.93	$227.73	$296.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $176.26 / $219.44 / $305.01	Professional		$176.26	$219.44	$305.01
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 $200.93 / $250.83 / $314.39	Professional		$200.93	$250.83	$314.39