Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.24 / $1,471.06 / $5,351.61	Facility		$211.24	$1,471.06	$5,351.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.44 / $232.36 / $356.47	Professional		$152.44	$232.36	$356.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $947.82 / $1,105.59 / $1,555.50	Facility		$947.82	$1,105.59	$1,555.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $192.87 / $269.00	Professional		$34.76	$192.87	$269.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.58 / $249.67 / $763.97	Professional		$157.58	$249.67	$763.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $215.04 / $1,353.46 / $4,933.00	Facility		$215.04	$1,353.46	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $169.43 / $270.98 / $365.82	Professional		$169.43	$270.98	$365.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.05 / $215.60 / $320.47	Professional		$32.05	$215.60	$320.47
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 $235.90 / $298.44 / $383.91	Professional		$235.90	$298.44	$383.91