Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.78 / $2,056.00 / $4,933.00	Facility		$239.78	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.87 / $239.78 / $251.08	Professional		$169.87	$239.78	$251.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.57 / $208.13 / $281.98	Facility		$178.57	$208.13	$281.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.39 / $210.14 / $336.22	Professional		$51.39	$210.14	$336.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.94 / $209.93 / $400.69	Professional		$143.94	$209.93	$400.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $179.32 / $2,056.00 / $4,933.00	Facility		$179.32	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $179.32 / $220.20 / $299.79	Professional		$179.32	$220.20	$299.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $153.09 / $236.61	Professional		$32.13	$153.09	$236.61
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 $178.61 / $212.45 / $292.12	Professional		$178.61	$212.45	$292.12