Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.68 / $620.00 / $4,933.00	Facility		$146.68	$620.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.81 / $169.45 / $233.36	Professional		$115.81	$169.45	$233.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.14 / $271.95 / $382.61	Facility		$233.14	$271.95	$382.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $127.19 / $167.29	Professional		$28.58	$127.19	$167.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.56 / $174.98 / $536.65	Professional		$106.56	$174.98	$536.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $197.67 / $1,147.07 / $4,933.00	Facility		$197.67	$1,147.07	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $146.68 / $197.67 / $256.97	Professional		$146.68	$197.67	$256.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.08 / $172.02 / $244.86	Professional		$118.08	$172.02	$244.86
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 $186.02 / $219.57 / $293.22	Professional		$186.02	$219.57	$293.22