Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.76 / $568.26 / $4,933.00	Facility		$204.76	$568.26	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.27 / $225.82 / $328.49	Professional		$157.27	$225.82	$328.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.68 / $303.61 / $411.35	Facility		$258.68	$303.61	$411.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.80 / $228.97 / $379.62	Professional		$45.80	$228.97	$379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.84 / $235.79 / $438.71	Professional		$156.84	$235.79	$438.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $230.17 / $2,056.00 / $4,933.00	Facility		$230.17	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $212.63 / $248.33 / $376.48	Professional		$212.63	$248.33	$376.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $221.17 / $324.90	Professional		$174.81	$221.17	$324.90
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.62 / $281.11 / $386.51	Professional		$230.62	$281.11	$386.51