Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.25 / $2,877.00 / $4,933.00	Facility		$209.25	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $209.25 / $264.30	Professional		$141.60	$209.25	$264.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.83 / $195.76 / $263.91	Facility		$167.83	$195.76	$263.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.19 / $180.37 / $272.41	Professional		$47.19	$180.37	$272.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.26 / $233.39 / $638.42	Professional		$169.26	$233.39	$638.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $198.07 / $2,877.00 / $4,933.00	Facility		$198.07	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $175.90 / $198.07 / $275.85	Professional		$175.90	$198.07	$275.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $165.18 / $206.01 / $288.47	Professional		$165.18	$206.01	$288.47
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 $165.01 / $220.01 / $400.92	Professional		$165.01	$220.01	$400.92