Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.34 / $185.68 / $4,933.00	Facility		$132.34	$185.68	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.08 / $132.34 / $185.68	Professional		$96.08	$132.34	$185.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.06 / $168.05 / $236.43	Facility		$144.06	$168.05	$236.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $112.23 / $226.56	Professional		$31.89	$112.23	$226.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.17 / $152.34 / $454.64	Professional		$96.17	$152.34	$454.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $132.34 / $163.95 / $4,933.00	Facility		$132.34	$163.95	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $132.34 / $163.95 / $213.70	Professional		$132.34	$163.95	$213.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $168.68 / $236.61	Professional		$137.22	$168.68	$236.61
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 $147.47 / $180.44 / $250.26	Professional		$147.47	$180.44	$250.26