Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.60 / $221.32 / $4,933.00	Facility		$127.60	$221.32	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.95 / $138.02 / $221.32	Professional		$93.95	$138.02	$221.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.26 / $212.43 / $287.81	Facility		$182.26	$212.43	$287.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $107.07 / $214.13	Professional		$29.13	$107.07	$214.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.54 / $165.15 / $471.91	Professional		$97.54	$165.15	$471.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $178.00 / $2,056.00 / $4,933.00	Facility		$178.00	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $127.60 / $178.00 / $251.96	Professional		$127.60	$178.00	$251.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.59 / $202.65 / $282.48	Professional		$163.59	$202.65	$282.48
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 $173.12 / $198.74 / $271.72	Professional		$173.12	$198.74	$271.72