Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.81 / $2,056.00 / $4,933.00	Facility		$58.81	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.32 / $155.54 / $218.48	Professional		$44.32	$155.54	$218.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $942.00 / $1,099.59 / $1,497.95	Facility		$942.00	$1,099.59	$1,497.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.81 / $76.34 / $152.68	Professional		$13.81	$76.34	$152.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.26 / $131.63 / $321.77	Professional		$53.26	$131.63	$321.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $194.61 / $2,056.00 / $4,933.00	Facility		$194.61	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $58.81 / $194.61 / $257.97	Professional		$58.81	$194.61	$257.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.01 / $170.07 / $243.46	Professional		$136.01	$170.07	$243.46
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,247.00 / $1,844.00	Facility		$464.00	$1,247.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.78 / $252.16 / $340.69	Professional		$220.78	$252.16	$340.69