Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.48 / $283.27 / $4,933.00	Facility		$195.48	$283.27	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $212.83 / $284.18	Professional		$161.94	$212.83	$284.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $243.81 / $284.17 / $385.01	Facility		$243.81	$284.17	$385.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $130.66 / $221.46	Professional		$32.15	$130.66	$221.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.80 / $226.00 / $707.86	Professional		$145.80	$226.00	$707.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $245.60 / $2,056.00 / $4,933.00	Facility		$245.60	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $195.48 / $245.60 / $316.08	Professional		$195.48	$245.60	$316.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $177.28 / $219.82 / $302.18	Professional		$177.28	$219.82	$302.18
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 $226.39 / $270.93 / $366.74	Professional		$226.39	$270.93	$366.74