Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.07 / $238.35 / $4,933.00	Facility		$159.07	$238.35	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.13 / $170.78 / $238.35	Professional		$119.13	$170.78	$238.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,285.42 / $1,498.20 / $2,029.83	Facility		$1,285.42	$1,498.20	$2,029.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.13 / $139.52 / $210.72	Professional		$38.13	$139.52	$210.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.33 / $192.81 / $552.48	Professional		$116.33	$192.81	$552.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $219.10 / $2,877.00 / $4,933.00	Facility		$219.10	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $159.07 / $219.10 / $291.51	Professional		$159.07	$219.10	$291.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.59 / $202.65 / $282.48	Professional		$163.59	$202.65	$282.48
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 $204.33 / $243.16 / $316.52	Professional		$204.33	$243.16	$316.52