Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.24 / $2,877.00 / $4,933.00	Facility		$185.24	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.42 / $185.24 / $219.28	Professional		$125.42	$185.24	$219.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $319.37 / $372.23 / $504.32	Facility		$319.37	$372.23	$504.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.94 / $150.34 / $254.80	Professional		$38.94	$150.34	$254.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.15 / $206.07 / $564.91	Professional		$149.15	$206.07	$564.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $170.85 / $2,877.00 / $4,933.00	Facility		$170.85	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $177.37 / $244.20	Professional		$164.32	$177.37	$244.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.75 / $171.82 / $239.73	Professional		$136.75	$171.82	$239.73
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 $153.80 / $194.02 / $347.76	Professional		$153.80	$194.02	$347.76