Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.36 / $360.04 / $4,933.00	Facility		$244.36	$360.04	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.23 / $251.44 / $342.90	Professional		$175.23	$251.44	$342.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.08 / $355.25 / $481.30	Facility		$306.08	$355.25	$481.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $264.70 / $402.46	Professional		$55.46	$264.70	$402.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.94 / $267.05 / $876.19	Professional		$180.94	$267.05	$876.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $256.57 / $2,056.00 / $4,933.00	Facility		$256.57	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $209.99 / $300.33 / $384.03	Professional		$209.99	$300.33	$384.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $201.94 / $313.81	Professional		$30.66	$201.94	$313.81
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $2,531.00 / $4,504.00	Facility		$773.00	$2,531.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $276.73 / $331.66 / $426.42	Professional		$276.73	$331.66	$426.42