Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.47 / $241.35 / $4,933.00	Facility		$159.47	$241.35	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $193.59 / $249.02	Professional		$133.00	$193.59	$249.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.40 / $252.43 / $355.14	Facility		$216.40	$252.43	$355.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $101.62 / $170.71	Professional		$27.58	$101.62	$170.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.36 / $189.78 / $581.25	Professional		$119.36	$189.78	$581.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $207.84 / $2,056.00 / $4,933.00	Facility		$207.84	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $159.47 / $207.84 / $268.76	Professional		$159.47	$207.84	$268.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.02 / $185.86 / $259.82	Professional		$149.02	$185.86	$259.82
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 $181.60 / $229.15 / $336.37	Professional		$181.60	$229.15	$336.37