Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.51 / $281.02 / $4,933.00	Facility		$177.51	$281.02	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.16 / $191.06 / $281.02	Professional		$127.16	$191.06	$281.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.74 / $273.36 / $368.52	Facility		$231.74	$273.36	$368.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $229.54 / $364.75	Professional		$36.07	$229.54	$364.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.09 / $213.53 / $387.53	Professional		$139.09	$213.53	$387.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $177.51 / $270.61 / $4,933.00	Facility		$177.51	$270.61	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $182.64 / $214.79 / $322.06	Professional		$182.64	$214.79	$322.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.64 / $205.65 / $294.89	Professional		$151.64	$205.65	$294.89
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 $203.52 / $244.44 / $330.59	Professional		$203.52	$244.44	$330.59