Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.08 / $2,877.00 / $4,933.00	Facility		$313.08	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.25 / $313.08 / $508.36	Professional		$209.25	$313.08	$508.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.58 / $255.48 / $359.44	Facility		$216.58	$255.48	$359.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $363.53 / $583.46	Professional		$69.06	$363.53	$583.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.38 / $325.73 / $580.71	Professional		$228.38	$325.73	$580.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $306.22 / $2,877.00 / $4,933.00	Facility		$306.22	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $281.58 / $339.69 / $513.88	Professional		$281.58	$339.69	$513.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $239.17 / $310.05 / $451.15	Professional		$239.17	$310.05	$451.15
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 $301.67 / $360.56 / $487.64	Professional		$301.67	$360.56	$487.64