Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.07 / $237.61 / $4,933.00	Facility		$159.07	$237.61	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.51 / $178.12 / $247.83	Professional		$125.51	$178.12	$247.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.98 / $244.74 / $331.59	Facility		$209.98	$244.74	$331.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $136.51 / $202.24	Professional		$27.44	$136.51	$202.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.77 / $188.23 / $578.37	Professional		$118.77	$188.23	$578.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $200.42 / $299.38 / $4,933.00	Facility		$200.42	$299.38	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $159.06 / $204.57 / $284.50	Professional		$159.06	$204.57	$284.50
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 $182.51 / $225.52 / $288.76	Professional		$182.51	$225.52	$288.76