Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.43 / $190.18 / $4,933.00	Facility		$179.43	$190.18	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.54 / $179.43 / $190.18	Professional		$128.54	$179.43	$190.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $766.72 / $893.64 / $1,210.73	Facility		$766.72	$893.64	$1,210.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $147.05 / $239.67	Professional		$40.76	$147.05	$239.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.45 / $178.03 / $579.80	Professional		$126.45	$178.03	$579.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $187.34 / $2,056.00 / $4,933.00	Facility		$187.34	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $153.15 / $187.34 / $236.54	Professional		$153.15	$187.34	$236.54
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 $145.11 / $196.33 / $263.17	Professional		$145.11	$196.33	$263.17