Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.71 / $464.00 / $4,933.00	Facility		$97.71	$464.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.99 / $130.72 / $183.15	Professional		$63.99	$130.72	$183.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $542.58 / $632.40 / $856.80	Facility		$542.58	$632.40	$856.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $100.67 / $207.48	Professional		$19.38	$100.67	$207.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.13 / $133.97 / $401.41	Professional		$69.13	$133.97	$401.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $155.49 / $2,056.00 / $4,933.00	Facility		$155.49	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $155.49 / $213.61	Professional		$97.70	$155.49	$213.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.03 / $151.64 / $216.82	Professional		$118.03	$151.64	$216.82
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.49 / $175.84 / $230.40	Professional		$130.49	$175.84	$230.40