Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.93 / $211.49 / $4,933.00	Facility		$195.93	$211.49	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.33 / $195.93 / $211.49	Professional		$134.33	$195.93	$211.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $863.39 / $1,006.31 / $1,363.39	Facility		$863.39	$1,006.31	$1,363.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.36 / $152.51 / $253.77	Professional		$46.36	$152.51	$253.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.82 / $190.82 / $631.61	Professional		$137.82	$190.82	$631.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $179.93 / $2,056.00 / $4,933.00	Facility		$179.93	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $170.09 / $195.93 / $247.24	Professional		$170.09	$195.93	$247.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.78 / $206.03 / $286.46	Professional		$163.78	$206.03	$286.46
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 $168.58 / $206.04 / $293.33	Professional		$168.58	$206.04	$293.33