Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.26 / $281.24 / $4,933.00	Facility		$198.26	$281.24	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.21 / $203.69 / $281.24	Professional		$156.21	$203.69	$281.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.30 / $277.75 / $376.30	Facility		$238.30	$277.75	$376.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.71 / $134.99 / $252.31	Professional		$36.71	$134.99	$252.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.54 / $225.47 / $717.93	Professional		$148.54	$225.47	$717.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $245.85 / $2,056.00 / $4,933.00	Facility		$245.85	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $184.76 / $245.85 / $308.08	Professional		$184.76	$245.85	$308.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.29 / $204.44 / $285.06	Professional		$153.29	$204.44	$285.06
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 $225.41 / $271.14 / $365.70	Professional		$225.41	$271.14	$365.70