Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.81 / $205.94 / $4,933.00	Facility		$164.81	$205.94	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.80 / $164.81 / $217.27	Professional		$116.80	$164.81	$217.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $403.18 / $469.92 / $636.66	Facility		$403.18	$469.92	$636.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $132.28 / $226.47	Professional		$35.97	$132.28	$226.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.43 / $175.05 / $588.44	Professional		$135.43	$175.05	$588.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $166.86 / $2,056.00 / $4,933.00	Facility		$166.86	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $144.52 / $166.86 / $242.74	Professional		$144.52	$166.86	$242.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.45 / $153.29 / $215.06	Professional		$120.45	$153.29	$215.06
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 $159.16 / $188.44 / $246.13	Professional		$159.16	$188.44	$246.13