Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.32 / $2,056.00 / $4,933.00	Facility		$498.32	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.75 / $497.90 / $517.49	Professional		$349.75	$497.90	$517.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.09 / $203.16 / $275.25	Facility		$173.09	$203.16	$275.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $73.92 / $136.94	Professional		$22.23	$73.92	$136.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.08 / $454.97 / $824.95	Professional		$282.08	$454.97	$824.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $398.26 / $2,056.00 / $4,933.00	Facility		$398.26	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $388.05 / $398.26 / $527.74	Professional		$388.05	$398.26	$527.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $100.00	Professional		$30.00	$75.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.38 / $466.05 / $638.96	Professional		$366.38	$466.05	$638.96