Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.67 / $241.84 / $4,933.00	Facility		$122.67	$241.84	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.79 / $153.36 / $198.38	Professional		$102.79	$153.36	$198.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.03 / $165.55 / $224.29	Facility		$142.03	$165.55	$224.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.15 / $87.09 / $169.11	Professional		$22.15	$87.09	$169.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.50 / $145.22 / $448.89	Professional		$91.50	$145.22	$448.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $154.56 / $241.84 / $4,933.00	Facility		$154.56	$241.84	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $122.67 / $163.53 / $230.32	Professional		$122.67	$163.53	$230.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.03 / $153.25 / $215.06	Professional		$118.03	$153.25	$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 $151.04 / $180.10 / $244.32	Professional		$151.04	$180.10	$244.32