Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.70 / $2,056.00 / $4,933.00	Facility		$283.70	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.93 / $239.21 / $383.62	Professional		$180.93	$239.21	$383.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.08 / $217.14 / $305.51	Facility		$184.08	$217.14	$305.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $365.11 / $605.60	Professional		$66.70	$365.11	$605.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.21 / $253.27 / $476.95	Professional		$177.21	$253.27	$476.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $225.80 / $2,056.00 / $4,933.00	Facility		$225.80	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $208.22 / $272.54 / $383.62	Professional		$208.22	$272.54	$383.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $172.11 / $278.26	Professional		$32.13	$172.11	$278.26
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 $218.10 / $263.42 / $370.55	Professional		$218.10	$263.42	$370.55