Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.71 / $207.73 / $4,933.00	Facility		$137.71	$207.73	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.29 / $165.18 / $249.27	Professional		$115.29	$165.18	$249.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.94 / $216.72 / $293.62	Facility		$185.94	$216.72	$293.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $92.26 / $189.80	Professional		$21.27	$92.26	$189.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.91 / $161.91 / $502.12	Professional		$102.91	$161.91	$502.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $173.51 / $261.73 / $4,933.00	Facility		$173.51	$261.73	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $137.71 / $178.04 / $249.27	Professional		$137.71	$178.04	$249.27
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 $156.52 / $196.13 / $252.59	Professional		$156.52	$196.13	$252.59