Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.50 / $1,712.24 / $4,933.00	Facility		$196.50	$1,712.24	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.86 / $220.37 / $318.20	Professional		$140.86	$220.37	$318.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $278.89 / $325.32 / $457.71	Facility		$278.89	$325.32	$457.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.18 / $198.41 / $342.86	Professional		$43.18	$198.41	$342.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.79 / $225.96 / $713.61	Professional		$146.79	$225.96	$713.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $255.43 / $1,712.24 / $4,933.00	Facility		$255.43	$1,712.24	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $156.25 / $255.43 / $350.04	Professional		$156.25	$255.43	$350.04
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 $235.49 / $280.97 / $361.53	Professional		$235.49	$280.97	$361.53